Healthcare Provider Details

I. General information

NPI: 1144529827
Provider Name (Legal Business Name): VICENTE A. CHAVARRIA M.D. P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/21/2011
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10651 N KENDALL DR STE 217
MIAMI FL
33176-1545
US

IV. Provider business mailing address

10651 N KENDALL DR STE 217
MIAMI FL
33176-1545
US

V. Phone/Fax

Practice location:
  • Phone: 305-670-7006
  • Fax: 305-670-7806
Mailing address:
  • Phone: 305-670-7006
  • Fax: 305-670-7806

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number
License Number State

VIII. Authorized Official

Name: VICENTE CHAVARRIA
Title or Position: PHYSICIAN
Credential:
Phone: 305-670-7006