D De La Vega MD P a

NPI #1063464527 in Hialeah Gardens, Florida

Provider Information

NPI Number: 1063464527
Entity Type: Organization
Organization Name: D De La Vega MD P a
Primary Specialty: Internal Medicine
Enumeration Date: May 16, 2006
Last Updated: Feb 19, 2020

Practice Location

Address: 11093 NW 138TH ST UNIT 112
City: Hialeah Gardens
State: Florida
ZIP Code: 33018-1190
Phone: (305) 552-0303

Authorized Official

Name: DR. DAGOBERTO DE LA VEGA, MD
Title: PRESIDENT
Phone: (305) 298-9100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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