Individual
MISS PAULA XIOMARA VEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PRECIDENTE
Contact information
Practice address
8264 NW SOUTH RIVER DR, MEDLEY, FL 33166-7451
(305) 885-0740
(305) 332-5459
Mailing address
8264 NW SOUTH RIVER DR, MEDLEY, FL 33166-7451
(305) 885-0740
(305) 332-5459
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
04548
FL
335E00000X
Prosthetic/Orthotic Supplier
ORF 148
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R9129
BLUE CROSS BLUE SHIELD
FL
Enumeration date
07/05/2006
Last updated
09/11/2025
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