Individual
WILFREDO VERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
3661 S MIAMI AVE, SUITE 205, MIAMI, FL 33133-4236
(305) 609-2722
(305) 447-9470
Mailing address
3661 S MIAMI AVE, SUITE 205, MIAMI, FL 33133-4236
(305) 609-2722
(305) 447-9470
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY4946
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
59480
BCBS PROV NUMBER
FL
01
—
PY4946
STATE LICENSE
FL
Enumeration date
10/26/2006
Last updated
12/08/2014
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