Individual
DR. JOSE ALAN DE LA ROSA VAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
913 N DIXIE AVE, ELIZABETHTOWN, KY 42701-2503
(270) 706-5612
(270) 706-5615
Mailing address
835 E MAIN ST UNIT 535, LOUISVILLE, KY 40206-2298
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
61386
KY
390200000X
Student in an Organized Health Care Education/Training Program
1457097263
TX
390200000X
Student in an Organized Health Care Education/Training Program
BP10081505
TX
Other
Enumeration date
05/05/2022
Last updated
12/01/2025
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