Dr Idel A Vazquez, MD | |
Sgt. Luis Medina St. #361, Ext. Roosevelt, San Juan, PR 00918 | |
(787) 484-5643 | |
(787) 259-9156 |
Full Name | Dr Idel A Vazquez |
---|---|
Gender | Male |
Speciality | General Practice |
Location | Sgt. Luis Medina St. #361, San Juan, Puerto Rico |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699868315 | NPI | - | NPPES |
16214 | Other | PR | STATE LICENSE TEM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | 16214 (Puerto Rico) | Primary |
Entity Name | Centro Medico Central Coto Laurel, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679529648 PECOS PAC ID: 4688604887 Enrollment ID: O20050817000635 |
Mailing Address | Practice Location Address |
---|---|
Dr Idel A Vazquez, MD 138 Ave Winston Churchill, San Juan, PR 00926-6013 Ph: (787) 840-1053 | Dr Idel A Vazquez, MD Sgt. Luis Medina St. #361, Ext. Roosevelt, San Juan, PR 00918 Ph: (787) 484-5643 |
Kady Cruz Estrada, 17872 General Practice Medicare: Not Enrolled in Medicare Practice Location: 1200 Carr 849, Vista Verde Apt 334a, San Juan, PR 00924 Phone: 787-969-1545 | |
Dr. Rafael A Davila Micheo, MD, EIT General Practice Medicare: Medicare Enrolled Practice Location: Centro Medico De Puerto Rico, San Juan, PR 00935 Phone: 787-777-3535 | |
Ms. Paola Andrea Colon Bonilla, General Practice Medicare: Not Enrolled in Medicare Practice Location: 1430 Ave San Alfonso Apt 2101, San Juan, PR 00921 Phone: 787-415-8606 | |
Dr. Laura Maria Gomez Santana, General Practice Medicare: Medicare Enrolled Practice Location: #550 Calle Sergio Cuevas Bustamante, Esq. Ave Domenech, San Juan, PR 00918 Phone: 787-758-8383 | |
Carlos M Gonzalez-lugo, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 205 Calle San Justo, Apt. 2a, San Juan, PR 00901 Phone: 787-724-0017 | |
Dr. Yudit Maytee Brito Pequera, General Practice Medicare: Medicare Enrolled Practice Location: 735 Ave Ponce De Leon, Ste 715, San Juan, PR 00917 Phone: 787-967-6769 | |
Leidy Esther Valerio Perez, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: Bo. Monacillos, San Juan, PR 00935 Phone: 787-754-0101 |