Provider Demographics
NPI:1326362385
Name:VIERA, MARTHA HELENA (MD)
Entity Type:Individual
Prefix:DR
First Name:MARTHA
Middle Name:HELENA
Last Name:VIERA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:11924 FOREST HILL BLVD STE 10A-411
Mailing Address - Street 2:
Mailing Address - City:WELLINGTON
Mailing Address - State:FL
Mailing Address - Zip Code:33414-6256
Mailing Address - Country:US
Mailing Address - Phone:305-239-5585
Mailing Address - Fax:305-901-2278
Practice Address - Street 1:4950 S LE JEUNE RD STE H
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33146-2231
Practice Address - Country:US
Practice Address - Phone:305-239-5585
Practice Address - Fax:305-901-2278
Is Sole Proprietor?:No
Enumeration Date:2010-03-19
Last Update Date:2021-11-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME119020207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology