| Doctor Name: | MISS PAULA XIOMARA VEGA |
| NPI Number: | 1669403358 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PRECIDENTE |
| License Number: | |
| Business Practice Address: | 8264 Nw South River Dr Medley, FL - 331667451 |
| Business Phone Number: | 3058850740 |
| Business Fax Number: | 3053325459 |
| Mailing Address: | 8264 Nw South River Dr, MEDLEY |
| State: | FL |
| Postal Code: | 331667451 |
| Phone Number: | 3058850740 |
| Fax Number: | 3053325459 |
| NPI Enumeration Date: | 07/05/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BP3500X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Parenteral & Enteral Nutrition |
| Taxonomy Definition: | |