Provider Demographics
NPI:1366544090
Name:VAZQUEZ URQUIA, ANGEL (MD)
Entity type:Individual
Prefix:PROF
First Name:ANGEL
Middle Name:
Last Name:VAZQUEZ URQUIA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 CALLE FLAMBOYAN
Mailing Address - Street 2:URB VALLE DE ARAMANA
Mailing Address - City:COROZAL
Mailing Address - State:PR
Mailing Address - Zip Code:00783-9745
Mailing Address - Country:US
Mailing Address - Phone:787-802-0061
Mailing Address - Fax:787-802-1177
Practice Address - Street 1:9 CALLE FLAMBOYAN
Practice Address - Street 2:URB VALLE DE ARAMANA
Practice Address - City:COROZAL
Practice Address - State:PR
Practice Address - Zip Code:00783-9745
Practice Address - Country:US
Practice Address - Phone:787-802-0061
Practice Address - Fax:787-802-1177
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-02
Last Update Date:2024-05-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR16522208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR15622OtherMEDICINE AND SURGERY