Individual
JULIO L. VEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
1469 NW 36TH ST, MIAMI, FL 33142
(786) 433-8633
Mailing address
11031 NE 6TH AVE, MIAMI, FL 33161-7182
(305) 398-6100
(305) 757-4465
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
FL
171M00000X
Case Manager/Care Coordinator
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100425600
—
FL
05
—
767027300
—
FL
Enumeration date
06/16/2006
Last updated
02/08/2019
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