| Organization Name: | ANTONIO VAZQUEZ |
| NPI Number: | 1356617377 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ANTONIO VAZQUEZ (DUENO) |
| Mailing Address: | 1484 Calle Bienteveo Urb Laurel Del Sur Coto Laurel |
| State: | PR US |
| Postal Code: | 007805007 |
| Phone Number: | 7876435786 |
| Fax Number: | 7872593292 |
| NPI Enumeration Date: | 03/23/2012 |
| NPI Last Update Date: | 03/23/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | TCAMB680 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |