Provider Demographics
NPI:1639053127
Name:PAEZ VIGOA, DANNY JAVIEL
Entity type:Individual
Prefix:
First Name:DANNY
Middle Name:JAVIEL
Last Name:PAEZ VIGOA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:533 ONE CENTER BLVD APT 112
Mailing Address - Street 2:
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32701-2205
Mailing Address - Country:US
Mailing Address - Phone:407-595-3491
Mailing Address - Fax:
Practice Address - Street 1:533 ONE CENTER BLVD APT 112
Practice Address - Street 2:
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32701-2205
Practice Address - Country:US
Practice Address - Phone:407-595-3491
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-05
Last Update Date:2025-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI23330246ZC0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant