Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 35.87877 | OH |
N | 208000000X | Pediatrician | ME99049 | FL |
N | 208000000X | Pediatrician | TRN 10667 | FL |
Y | 2080P0214X | Pediatric Pulmonologist | ME99049 | FL |
NPI | 1366474470 |
---|---|
Provider Name | Dr. Raymond C Veras |
First Address | Coral Gables, FL 33146-2423 |
Second Address | Mangonia Park, FL 33407-2450 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2006 |
Last Update Date | 08/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02173 | BCBS (01) | FL |
279212500 | (05) | FL |