| Mercedes J Vazquez Md Pa | |
|
950 N Krome Ave Suite 203 Homestead FL 33030-4400 | |
| (305) 242-0911 | |
| (305) 242-0912 |
| Full Name | Mercedes J Vazquez Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 950 N Krome Ave, Homestead, Florida |
| Authorized Official Name and Position | Mercedes J Vazquez (OWNER) |
| Authorized Official Contact | 3052420911 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mercedes J Vazquez Md Pa 950 N Krome Ave Suite 203 Homestead FL 33030-4400 Ph: (305) 242-0911 | Mercedes J Vazquez Md Pa 950 N Krome Ave Suite 203 Homestead FL 33030-4400 Ph: (305) 242-0911 |
| NPI Number | 1619243391 |
|---|---|
| Provider Enumeration Date | 03/28/2012 |
| Last Update Date | 04/04/2012 |
| Medicare PECOS PAC ID | 5799945424 |
|---|---|
| Medicare Enrollment ID | O20120404000389 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619243391 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Mercedes J Vazquez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134396724 PECOS PAC ID: 4486797917 Enrollment ID: I20120404000435 |
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