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NPI Code Detail

MEDICARE: DR. LILLIANA VAZQUEZ RIVERA MD

MEDICARE: DR. LILLIANA VAZQUEZ RIVERA MD
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
1207RI0200XInfectious Disease PhysicianME115776FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1205097953
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LILLIANA VAZQUEZ RIVERA MD
Provider Business Mailing Address
First Line : 1 NE 167TH ST
Second Line :
City : NORTH MIAMI BEACH
State : FL
Zip : 33162-3402
Country : US
Telephone Number : 305-432-9565
Fax Number : 305-573-9669
Provider Business Practice Location Address
First Line : 1 NE 167TH ST
Second Line :
City : NORTH MIAMI BEACH
State : FL
Zip : 33162-3402
Country : US
Telephone Number : 305-432-9565
Fax Number : 305-573-9669
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2008
Last Update Date : 04/24/2025

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Directions to “ DR. LILLIANA VAZQUEZ RIVERA MD” Practice Location

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