Doctor Name: | DR. EDGAR VAZQUEZ-VARGAS |
NPI Number: | 1932538675 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 18933 |
Business Practice Address: | Ave. Hostos #410 Carretera #2, Bo Sabalos Mayaguez, PR - 00680 |
Business Phone Number: | 7876529200 |
Business Fax Number: | 7878333695 |
Mailing Address: | Ave. Hostos #410, Carretera # 2, Bo Sabalos MAYAGUEZ |
State: | PR |
Postal Code: | 00680 |
Phone Number: | 7876529200 |
Fax Number: | 7878333695 |
NPI Enumeration Date: | 11/04/2013 |
NPI Last Update Date: | 03/17/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | 18933 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |