MEDICARE: DR. ZAIRA N. VAZQUEZ M.D.

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
1	207R00000X	Internal Medicine Physician	13206	PR

General Provider Information

NPI Number	:	1043283567
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ZAIRA N. VAZQUEZ M.D.

Provider Business Mailing Address
First Line	:	EL SENORIAL #2024 BECQUER ST.
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00926
Country	:	US
Telephone Number	:	787-761-5716
Fax Number	:

Provider Business Practice Location Address
First Line	:	BNNEVILLE HEIGHTS #3 CAMUY ST.
Second Line	:
City	:	CAGUAS
State	:	PR
Zip	:	00727
Country	:	US
Telephone Number	:	787-746-7556
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/08/2006
Last Update Date	:	07/08/2007

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