Provider Demographics
NPI:1720045529
Name:GIUA, VLADIMIRO (MD)
Entity Type:Individual
Prefix:
First Name:VLADIMIRO
Middle Name:
Last Name:GIUA
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 1:404 SW 19TH RD
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33129-1314
Mailing Address - Country:US
Mailing Address - Phone:786-547-2725
Mailing Address - Fax:
Practice Address - Street 1:3990 W FLAGLER ST
Practice Address - Street 2:SUITE 500
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-1644
Practice Address - Country:US
Practice Address - Phone:786-547-2725
Practice Address - Fax:786-547-2725
Is Sole Proprietor?:No
Enumeration Date:2006-04-27
Last Update Date:2009-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA202596207R00000X
FLME88429207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPTAN AH299ZOtherMEDICARE
FL280681900Medicaid
MA0116050Medicaid
MAGI A31851Medicare ID - Type Unspecified
FL280681900Medicaid