# CENTRO OFTALMOLOGICO DR VAZGUEZ DIAZ

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427021880
- **Authorized official:** JOSE ALFREDO VAZQUEZ MD BSB (OWNER)
- **Authorized official phone:** (787) 842-4188

## Contact information

- **Practice address:** 8111 CONCORDIA ST, CONCORDIA PROFESSIONAL PLAZA SUITE 101, PONCE, PR 00717
- **Practice address phone:** (787) 842-4188
- **Practice address fax:** (787) 842-4288
- **Mailing address:** PO BOX 9021, PONCE, PR 00732-9021
- **Mailing address phone:** (787) 842-4188
- **Mailing address fax:** (787) 842-4288

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 13059 | PR | Yes |

## Other

- **Enumeration date:** 02/08/2006
- **Last updated:** 08/22/2020