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NPI Code Detail

MEDICARE: ROBERT D. VAZQUEZ MD

MEDICARE: ROBERT D. VAZQUEZ MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianA617360CA

General Provider Information

NPI Number : 1669569950
Entity Type Code : Organization
Provider Name (Legal Business Name) : ROBERT D. VAZQUEZ MD
Provider Business Mailing Address
First Line : 903 E DEVONSHIRE AVE
Second Line : SUITE E
City : HEMET
State : CA
Zip : 92543-3097
Country : US
Telephone Number : 951-929-6260
Fax Number : 951-765-2855
Provider Business Practice Location Address
First Line : 903 E DEVONSHIRE AVE
Second Line : SUITE E
City : HEMET
State : CA
Zip : 92543-3097
Country : US
Telephone Number : 951-929-6260
Fax Number : 951-765-2855
Authorized Official
Title or Position : PRESIDENT
Name : ROBERT D VAZQUEZ
Credential : M.D.
Telephone Number : 951-929-6260
Provider Enumeration Date : 10/06/2006
Last Update Date : 06/16/2010

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Directions to “ROBERT D. VAZQUEZ MD ” Practice Location

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