D De La Vega MD P A
D De La Vega MD P A is an Internal Medicine Physician in Hialeah Gardens, Florida. Licensed in Florida. Registered with an NPI since 2006.
- Licensed in
- FL
- In the registry since
- 2006
Practice location Address checks out
11093 NW 138th St Unit 112Hialeah Gardens, FL 33018-1190
Phone: (305) 552-0303
Fax: (305) 554-0709
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Specialties & licences
| Internal Medicine Physician (primary) | Taxonomy 207R00000X · Licence ME67856 (FL) |
|---|
Record details
| NPI number | 1063464527 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Dagoberto De La Vega — President · (305) 298-9100 |
| NPI enumerated | May 16, 2006 |
| Last updated in NPPES | February 19, 2020 |
| Certification date | February 19, 2020 |
| Mailing address | 11093 Nw 138th St Unit 112, Hialeah Gardens, FL 33018-1190 |
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