Organization
VICENTE A. CHAVARRIA M.D. P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICENTE CHAVARRIA M.D (PRESIDENT)
(305) 670-7006
Entity
Organization
Contact information
Practice address
10700 N KENDALL DR STE 304, MIAMI, FL 33176-1469
(305) 670-7006
(305) 670-7806
Mailing address
10700 N KENDALL DR STE 304, MIAMI, FL 33176-1469
(305) 670-7006
(305) 670-7806
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
ME 60493
FL
261QM2500X
Medical Specialty Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25753
MEDICARE NUMBER
—
05
—
375946601
—
FL
Enumeration date
03/21/2011
Last updated
01/26/2023
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