Provider Demographics
NPI:1982038444
Name:VILLAVERDE, BIARDA (MD)
Entity Type:Individual
Prefix:DR
First Name:BIARDA
Middle Name:
Last Name:VILLAVERDE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19001 NE 2ND AVE
Mailing Address - Street 2:APT 1401
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33179-3766
Mailing Address - Country:US
Mailing Address - Phone:786-205-5069
Mailing Address - Fax:
Practice Address - Street 1:87 E 49TH ST
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33013-1851
Practice Address - Country:US
Practice Address - Phone:786-536-5001
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-02
Last Update Date:2013-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME116847207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine