Individual
DIBANNI VASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
90 SW 3RD ST, APT 4308, MIAMI, FL 33130-2995
(305) 972-1073
Mailing address
90 SW 3RD ST, APT 4308, MIAMI, FL 33130-2995
(305) 972-1073
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME 109534
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003787300
—
FL
Enumeration date
05/02/2011
Last updated
05/06/2015
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