MEDICARE: FRANCIS VAZQUEZ ROURA 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
1	207RN0300X	Nephrology Physician	10649	PR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	10649	OTHER	PUERTO RICO DEPT OF HEALT
2	060169	OTHER	CRUZ AZUL
3	04498	OTHER	AMERICAN HEALTH PLAN
4	10649	OTHER	SERVICIOS DE SALUS CORREC
5	4810649	OTHER	UNION DE TRABAJADORES IND
6	7310300	OTHER	HUMANA
7	83008	OTHER	BLUE CROSS BLUE SHIELD
8	0007457275	OTHER	AETNA
9	10649	OTHER	CIGNA

General Provider Information

NPI Number	:	1194807461
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FRANCIS VAZQUEZ ROURA MD

Provider Business Mailing Address
First Line	:	PO BOX 7301
Second Line	:
City	:	PONCE
State	:	PR
Zip	:	00732-7301
Country	:	US
Telephone Number	:	787-843-4588
Fax Number	:	787-840-0907

Provider Business Practice Location Address
First Line	:	1203 AVE MUNOZ RIVERA
Second Line	:	VILLA GRILLASCA
City	:	PONCE
State	:	PR
Zip	:	00717-0634
Country	:	US
Telephone Number	:	787-843-4588
Fax Number	:	787-840-0907

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

Provider Enumeration Date	:	10/19/2006
Last Update Date	:	03/15/2011

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Directions to “ FRANCIS VAZQUEZ ROURA MD” Practice Location

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