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Individual

DR. NIVIA ESTHER VAZQUEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME64580
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
23935Z
PTAN MEDICARE PART B PROGRAM
FL
05
374045500
FL
Enumeration date
06/09/2006
Last updated
04/25/2023
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