Individual
DR. HECTOR D. NIEVES-VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1435 DUNN AVE STE 101, DAYTONA BEACH, FL 32114-1434
(803) 849-8430
(803) 445-1138
Mailing address
DEPT. #394, P.O. BOX 1000, MEMPHIS, TN 38148
(941) 300-4440
(941) 404-1760
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
ACN633
FL
208D00000X
General Practice Physician
Primary
ACN633
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
108385700
—
FL
Enumeration date
06/03/2006
Last updated
01/30/2024
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