Provider Demographics
NPI:1134905326
Name:IT'S VIVACE MUSIC ACADEMY & MORE LLC
Entity type:Organization
Organization Name:IT'S VIVACE MUSIC ACADEMY & MORE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:DIANEL
Authorized Official - Middle Name:
Authorized Official - Last Name:DIEGUEZ NUNEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MT
Authorized Official - Phone:786-526-8839
Mailing Address - Street 1:1430 SW 1ST ST APT 606
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33135-2497
Mailing Address - Country:US
Mailing Address - Phone:786-526-8839
Mailing Address - Fax:
Practice Address - Street 1:1430 SW 1ST ST APT 606
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33135-2497
Practice Address - Country:US
Practice Address - Phone:786-526-8839
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-05
Last Update Date:2023-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic TherapistGroup - Single Specialty