Portofino Pediatrics

LBN: Nivia E. Vazquez, M.D.,P.A.
Portofino Pediatrics is an health care organization with primary practice located at 925 Ne 30Th Ter Suite #202, Homestead FL 33033-7613. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Nivia E. Vazquez, M.D.,P.A. can be contacted via phone (305) 246-1030, or through Vazquez, Nivia E. via phone (305) 246-1030.

Contact Information

Primary practice address
925 Ne 30Th Ter Suite #202 Homestead FL 33033-7613
Phone: (305) 246-1030
Fax: (305) 246-2387
Website:
Map and Directions
Authorized official contact:
Name: Vazquez, Nivia E. Doctor of Medicine (MD)
Phone: (305) 246-1030

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1194944611
LBN Legal business name Nivia E. Vazquez, M.D.,P.A.
DBA Doing business as Portofino Pediatrics
Authorized official Vazquez, Nivia E. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 24th, 2007
Last updated Apr 25th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194944611 NPPES
Florida MEDICAID 266494100

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