MEDICARE: MANUEL 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
1	208000000X	Pediatrics Physician	ME54056	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1497737852
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MANUEL VEGA MD

Provider Business Mailing Address
First Line	:	6100 BLUE LAGOON DRIVE
Second Line	:	SUITE 400
City	:	MIAMI
State	:	FL
Zip	:	33126
Country	:	US
Telephone Number	:	305-398-6100
Fax Number	:	305-757-2387

Provider Business Practice Location Address
First Line	:	3733 W FLAGLER ST
Second Line	:
City	:	CORAL GABLES
State	:	FL
Zip	:	33134-1601
Country	:	US
Telephone Number	:	305-774-3400
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/18/2005
Last Update Date	:	03/18/2020

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Directions to “ MANUEL VEGA MD” Practice Location

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