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NPI Code Detail

MEDICARE: ANTONIO VAZQUEZ

MEDICARE: ANTONIO VAZQUEZ
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
13416L0300XLand AmbulanceTCAMB680PR

General Provider Information

NPI Number : 1356617377
Entity Type Code : Organization
Provider Name (Legal Business Name) : ANTONIO VAZQUEZ
Provider Business Mailing Address
First Line : 1484 CALLE BIENTEVEO
Second Line : URB LAUREL DEL SUR
City : COTO LAUREL
State : PR
Zip : 00780-5007
Country : US
Telephone Number : 787-643-5786
Fax Number : 787-259-3292
Provider Business Practice Location Address
First Line : 1484 CALLE BIENTEVEO
Second Line : URB LAUREL DEL SUR
City : COTO LAUREL
State : PR
Zip : 00780-5007
Country : US
Telephone Number : 787-643-5786
Fax Number : 787-259-3292
Authorized Official
Title or Position : DUENO
Name : MR. ANTONIO VAZQUEZ
Credential :
Telephone Number : 787-643-5786
Provider Enumeration Date : 03/23/2012
Last Update Date : 03/23/2012

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Directions to “ANTONIO VAZQUEZ ” Practice Location

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