Organization
NIVIA E. VAZQUEZ, M.D.,P.A.
Active
Other names
Portofino Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NIVIA E. VAZQUEZ M.D. (PRESIDENT)
(305) 246-1030
Entity
Organization
Contact information
Practice address
925 NE 30TH TER, SUITE #202, HOMESTEAD, FL 33033-7613
(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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
266494100
—
FL
Enumeration date
04/24/2007
Last updated
04/25/2023
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