Individual
DR. NIVIA ESTHER VAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
925 NE 30TH TER, STE 202, HOMESTEAD, FL 33033-7614
(305) 246-1030
(305) 246-2387
Mailing address
925 NE 30TH TER, STE 202, HOMESTEAD, FL 33033-7614
(305) 246-1030
(305) 246-2387
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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