Provider Demographics
NPI:1801128749
Name:BARRAMEDA, VILMA
Entity type:Individual
Prefix:
First Name:VILMA
Middle Name:
Last Name:BARRAMEDA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13899 BISCAYNE BLVD STE 201
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33181-1651
Mailing Address - Country:US
Mailing Address - Phone:305-341-3518
Mailing Address - Fax:305-341-3517
Practice Address - Street 1:13899 BISCAYNE BLVD STE 201
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33181-1651
Practice Address - Country:US
Practice Address - Phone:305-341-3518
Practice Address - Fax:305-341-3517
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-03
Last Update Date:2010-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA41724225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist