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NPI Code Detail

MEDICARE: MARCELA P VEGA

MEDICARE: MARCELA P VEGA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse9686558FL
2163WC1600XContinuing Education/Staff Development Registered Nurse9686558FL
3163WH0200XHome Health Registered Nurse9686558FL
4163WN1003XNutrition Support Registered Nurse9686558FL
5163WP2201XAmbulatory Care Registered Nurse9686558FL
6163WI0500XInfusion Therapy Registered Nurse9686558FL

General Provider Information

NPI Number : 1790649374
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARCELA P VEGA
Provider Business Mailing Address
First Line : 2411 N 56TH TER
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33021-3210
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2411 N 56TH TER
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33021-3210
Country : US
Telephone Number : 786-277-8222
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/09/2025
Last Update Date : 12/09/2025

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Directions to “ MARCELA P VEGA ” Practice Location

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