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NPI Code Detail

MEDICARE: TRINI VEGA MD

MEDICARE: TRINI VEGA 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
1207R00000XInternal Medicine PhysicianME 103751FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1145X9OTHERFLBLUE CROSS/BLUE SHIELD OF FLORIDA
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1295975407
Entity Type Code : Individual
Provider Name (Legal Business Name) : TRINI VEGA MD
Provider Business Mailing Address
First Line : PO BOX 10534
Second Line :
City : MIAMI
State : FL
Zip : 33101-0534
Country : US
Telephone Number : 203-209-0910
Fax Number : 305-255-1669
Provider Business Practice Location Address
First Line : 680 N UNIVERSITY DR
Second Line :
City : PEMBROKE PINES
State : FL
Zip : 33024-6738
Country : US
Telephone Number : 855-226-6633
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/27/2009
Last Update Date : 04/27/2020

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Directions to “ TRINI VEGA MD” Practice Location

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