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NPI Code Detail

MEDICARE: VEDADO HEALTH SOLUTIONS, INC

MEDICARE: VEDADO HEALTH SOLUTIONS, INC
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 Physician

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 : 1346861226
Entity Type Code : Organization
Provider Name (Legal Business Name) : VEDADO HEALTH SOLUTIONS, INC
Provider Business Mailing Address
First Line : 7901 HISPANOLA AVE
Second Line :
City : NORTH BAY VILLAGE
State : FL
Zip : 33141-4152
Country : US
Telephone Number : 786-468-0113
Fax Number :
Provider Business Practice Location Address
First Line : 5190 SW 8TH ST
Second Line :
City : CORAL GABLES
State : FL
Zip : 33134-2476
Country : US
Telephone Number : 786-468-0113
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DR. KAREL DIAZ REYES
Credential : MD
Telephone Number : 786-468-0113
Provider Enumeration Date : 05/01/2020
Last Update Date : 05/01/2020

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Directions to “VEDADO HEALTH SOLUTIONS, INC ” Practice Location

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