Individual
DIANA P VACA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4651 N STATE ROAD 7 STE 10, COCONUT CREEK, FL 33073-4378
(954) 866-5688
Mailing address
15392 SW 14TH LN, MIAMI, FL 33194-2668
(917) 399-7231
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
295001
NY
208000000X
Pediatrics Physician
Primary
ME167285
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/17/2015
Last updated
01/27/2026
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