Individual
DR. JUAN CARLOS DE RIVERO VACCARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD, MD
Contact information
Practice address
401 SW 27TH AVE, MIAMI, FL 33135-2903
(305) 541-6606
Mailing address
401 SW 27TH AVE, MIAMI, FL 33135-2903
(504) 975-4908
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME126302
FL
Other
Enumeration date
03/20/2012
Last updated
09/10/2019
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