# DR. ESTEBAN MANUEL VAZQUEZ-VALENCIA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1699183376
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 19136 | PR | Yes |
| 207W00000X | Ophthalmology Physician | MD466563 | PA | — |
| 207WX0009X | Glaucoma Specialist (Ophthalmology) Physician | 19136 | PR | — |

## Other

- **Enumeration date:** 07/26/2014
- **Last updated:** 07/21/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 19136 | PR STATE MEDICAL LICENSE | PR |
| 01 | — | 31511R | PUERTO RICO STATE LICENSING BOARD | PR |
