# LUIS E VAZQUEZ MD LLC

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

## Provider details

- **NPI number:** 1619200987
- **Authorized official:** DR. LUIS E VAZQUEZ MD (OWNER)
- **Authorized official phone:** (201) 758-8012

## Contact information

- **Practice address:** 8915 BERGENWOOD AVE APT 3, NORTH BERGEN, NJ 07047-5347
- **Practice address phone:** (201) 758-8012
- **Practice address fax:** (201) 758-8013
- **Mailing address:** 8915 BERGENWOOD AVE APT 3, NORTH BERGEN, NJ 07047-5347
- **Mailing address phone:** (201) 758-8012
- **Mailing address fax:** (201) 758-8013

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 25MA07945600 | NJ | Yes |

## Other

- **Enumeration date:** 09/17/2009
- **Last updated:** 06/23/2026