Healthcare Provider Details

I. General information

NPI: 1437169000
Provider Name (Legal Business Name): MARIA CRISTINA VAZQUEZ MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/08/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8496 SW 8TH
MIAMI FL
33144
US

IV. Provider business mailing address

8496 SW 8TH
MIAMI FL
33144
US

V. Phone/Fax

Practice location:
  • Phone: 305-266-5900
  • Fax: 305-261-9389
Mailing address:
  • Phone: 305-266-5900
  • Fax: 305-261-9389

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number80790
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: