Individual
DAGOBERTO DE LA VEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3200 SW 128TH AVE, MIAMI, FL 33175-2504
(305) 298-9100
(305) 274-0692
Mailing address
3200 SW 128TH AVE, MIAMI, FL 33175-2504
(305) 298-9100
(305) 274-0692
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME67856
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
377494501
—
FL
Enumeration date
05/16/2006
Last updated
02/19/2020
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