Basic Information
| Provider Information | |||||||||
| NPI: | 1285618173 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | VILORIA | ||||||||
| FirstName: | REBEKAH | ||||||||
| MiddleName: | PETARGUE | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1340 BOYLSTON ST | ||||||||
| Address2: | |||||||||
| City: | BOSTON | ||||||||
| State: | MA | ||||||||
| PostalCode: | 022154302 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6179276133 | ||||||||
| FaxNumber: | 6172473460 | ||||||||
| Practice Location | |||||||||
| Address1: | 1340 BOYLSTON ST | ||||||||
| Address2: | |||||||||
| City: | BOSTON | ||||||||
| State: | MA | ||||||||
| PostalCode: | 022154302 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6179276133 | ||||||||
| FaxNumber: | 6172473460 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/03/2005 | ||||||||
| LastUpdateDate: | 07/20/2015 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207V00000X | 217138 | MA | Y | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |
ID Information
| ID | Type | State | Issuer | Description | 2018055 | 01 | MA | MEDICAID | OTHER | 3293060 | 01 | MA | AETNA | OTHER | 694882 | 01 | MA | CIGNA | OTHER | 132473 | 01 | MA | HARVARD PILGRIM | OTHER | J26643 | 01 | MA | BCBS/MANAGED CARE | OTHER | 217138 | 01 | MA | TUFTS HEALTH PLAN | OTHER | A35939 | 01 | MA | MEDICARE | OTHER | 2018055 | 05 | MA | MEDICAID | J26643 | 01 | MA | BLUE CARE 65 | OTHER | 0031081 | 01 | MA | NEGHBORHOOD HEALTH PLAN | OTHER | 07-02641 | 01 | MA | UNITED HEALTHCARE | OTHER | J26643 | 01 | MA | BCBS/INDEMNITY | OTHER |