Provider Demographics
NPI:1144273426
Name:VIERA, EDUARDO (MD)
Entity type:Individual
Prefix:
First Name:EDUARDO
Middle Name:
Last Name:VIERA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7000 NW 52ND ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33166-4845
Mailing Address - Country:US
Mailing Address - Phone:305-418-0847
Mailing Address - Fax:305-418-0849
Practice Address - Street 1:7000 NW 52ND ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33166-4845
Practice Address - Country:US
Practice Address - Phone:305-418-0847
Practice Address - Fax:305-418-0849
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-18
Last Update Date:2025-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME75836207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLGF241AOtherMEDICARE GROUP PTAN
FLE1177TMedicare PIN
FLGF241AOtherMEDICARE GROUP PTAN