Individual
RAFAEL A RIVAS-VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
8940 N KENDALL DR, SUITE 802E, MIAMI, FL 33176-2148
(305) 595-4041
(305) 595-6638
Mailing address
9960 NW 116TH WAY, SUITE 13, MEDLEY, FL 33178-1167
(786) 924-1311
(786) 924-1313
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PY4519
FL
Other
Enumeration date
04/11/2006
Last updated
03/27/2025
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