Active NPI
Wilfredo Vera, PH.D.
- Psychologist
- Miami, FL
National Provider Identifier
1578648531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PY4946
- Practice address
- 3661 S Miami Ave
Suite 205
Miami, FL 33133-4236 - Phone
- (305) 609-2722
- Fax
- (305) 447-9470
- NPI assigned
- Oct 26, 2006
- Last updated
- Dec 8, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PY4946 | FL | Primary |
Addresses
Primary practice location
3661 S Miami Ave
Suite 205
Miami, FL 33133-4236
Mailing address
3661 S Miami Ave
Suite 205
Miami, FL 33133-4236
Phone (305) 609-2722
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PY4946 | Other | FL | STATE LICENSE |
| 59480 | Other | FL | BCBS PROV NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1417996800000",
"number": "1578648531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3661 S MIAMI AVE",
"address_2": "SUITE 205",
"city": "MIAMI",
"state": "FL",
"postal_code": "331334236",
"telephone_number": "305-609-2722",
"fax_number": "305-447-9470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3661 S MIAMI AVE",
"address_2": "SUITE 205",
"city": "MIAMI",
"state": "FL",
"postal_code": "331334236",
"telephone_number": "305-609-2722",
"fax_number": "305-447-9470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERA",
"first_name": "WILFREDO",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-26",
"last_updated": "2014-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "FL",
"license": "PY4946",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "PY4946",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROV NUMBER",
"identifier": "59480",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.