Individual
LUIS A VERGARA VILLAREAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
434 SW 12TH AVE, MIAMI, FL 33130-2440
(305) 266-2929
Mailing address
1807 SW 153RD PASS, MIAMI, FL 33185-5722
(786) 260-9845
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
22927
PR
208D00000X
General Practice Physician
Primary
ACN1560
FL
Other
Enumeration date
06/07/2023
Last updated
06/25/2026
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