Provider Demographics
NPI:1366586414
Name:VELILLA, CESAR AUGUSTO (MD)
Entity type:Individual
Prefix:DR
First Name:CESAR
Middle Name:AUGUSTO
Last Name:VELILLA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3801 BISCAYNE BLVD
Mailing Address - Street 2:SUITE # 220
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33137-9800
Mailing Address - Country:US
Mailing Address - Phone:305-571-0620
Mailing Address - Fax:305-571-0634
Practice Address - Street 1:1611 NW 12TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33136-1005
Practice Address - Country:US
Practice Address - Phone:305-571-0620
Practice Address - Fax:305-571-0634
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-19
Last Update Date:2008-04-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME98818207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine