Individual
DR. RAFAEL ANTONIO DE LA VEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7000 SW 62ND AVE STE 600, SOUTH MIAMI, FL 33143-4728
(305) 909-9805
Mailing address
7864 NW 171ST ST, HIALEAH, FL 33015-3842
(305) 332-1089
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
HSE
FL
Other
Enumeration date
06/12/2023
Last updated
06/12/2023
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