Carmen Adela Viera, M.S.
Individual provider Active NPI Audiologist · Debary, FL
NPI 1194889949 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1194889949
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Audiologist 231H00000X
- License
- AY1106 (FL)
- Practice address
- 501 Woodford Dr
Debary, FL 32713-2133 - Phone
- (386) 216-1660
- NPI assigned
- Dec 19, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 525 | PR | MD | Occupational Therapist |
| AY1106 | FL | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Consultorio Oto CCC PSC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | AY1106 | FL | Yes |
Addresses
Primary practice location
501 Woodford Dr
Debary, FL 32713-2133
Mailing address
501 Woodford Dr
Debary, FL 32713-2133
Phone (386) 216-1660
Other providers in Debary, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.