Vazquez, Idel A

Vazquez, Idel A is an sole proprietor health care provider with primary practice located at Sgt. Luis Medina St. #361 Ext. Roosevelt, San Juan PR 00918. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Vazquez, Idel A can be contacted via phone (787) 484-5643.

Contact Information

Primary practice address
Sgt. Luis Medina St. #361 Ext. Roosevelt San Juan PR 00918
Phone: (787) 484-5643
Fax: (787) 259-9156
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 16214 Puerto Rico

Profile Details

NPI number 1699868315
LBN Legal business name Vazquez, Idel A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 2nd, 2006
Last updated Mar 7th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699868315 NPPES
Puerto Rico Other 16214 STATE LICENSE TEM

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