Organization
VILMED INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS OMENACA MD (DIRECTOR)
(305) 756-6110
Entity
Organization
Contact information
Practice address
9111 PARK DR, MIAMI SHORES, FL 33138-3159
(305) 756-6110
(305) 759-1255
Mailing address
9111 PARK DR, MIAMI SHORES, FL 33138-3159
(305) 756-6110
(305) 759-1255
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
ME72943
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
280668100
—
FL
01
—
3377883
AETNA HMO
—
01
—
7154509
AETNA NON HMO
—
01
—
DR2151
MEDICARE RAILROAD PTAN
FL
Enumeration date
11/08/2006
Last updated
11/13/2024
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