Individual
VILMA VIRGILIA LLERENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4800 W FLAGLER ST STE 215, CORAL GABLES, FL 33134
(954) 368-4786
(954) 368-4101
Mailing address
16525 OLD CUTLER RD, PALMETTO BAY, FL 33157-2532
(787) 286-1845
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
ACN677
FL
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
ACN677
FL
208D00000X
General Practice Physician
14663
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100104
CRUZ AZUL DE PUERTO RICO
—
01
—
2011271
PREFERRED HEALTH
—
01
—
21394LL
MEDICARE OPTIMO
—
01
—
3478
AMERICAN HEALTH INC
—
01
—
3519
PREFERRED MEDICARE CHOICE
—
01
—
500157SE
MEDICARE Y MUCHO MAS
—
01
—
9560000
HUMANA INS
—
01
—
PG4474
PALIC
—
Enumeration date
12/23/2005
Last updated
06/08/2023
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