Organization
GUILLERMO VAZQUEZ M.D. PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GUILLERMO VAZQUEZ M.D. (PRESIDENT)
(305) 557-5355
Entity
Organization
Contact information
Practice address
1435 W 49TH PL, SUITE 206, HIALEAH, FL 33012-3197
(305) 557-5355
(305) 557-5146
Mailing address
PO BOX 832587, MIAMI, FL 33283-2587
(305) 557-5355
(305) 557-5146
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
042997
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04120
MEDICARE NUMBER
FL
05
—
046912200
—
FL
Enumeration date
01/24/2011
Last updated
01/24/2011
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