MEDICARE: ARACELY VASQUEZ 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	207R00000X	Internal Medicine Physician	R1146	TX

General Provider Information

NPI Number	:	1720407349
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARACELY VASQUEZ MD

Provider Business Mailing Address
First Line	:	PO BOX 616788
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32861-6788
Country	:	US
Telephone Number	:	407-447-7120
Fax Number	:	407-770-0661

Provider Business Practice Location Address
First Line	:	6806 HIGHWAY 6 S # A
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77083-3302
Country	:	US
Telephone Number	:	281-707-7361
Fax Number	:

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

Provider Enumeration Date	:	04/10/2014
Last Update Date	:	05/23/2024

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