Individual
ROBERT D VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2 W FERN AVE, REDLANDS, CA 92373
(909) 793-3311
(909) 335-4190
Mailing address
PO BOX 10069, SUITE E, SAN BERNARDINO, CA 92423-0069
(951) 929-6260
(951) 929-1611
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A61736
CA
208M00000X
Hospitalist Physician
Primary
A61736
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00343463
RAILROAD MEDICARE
CA
Enumeration date
06/28/2006
Last updated
05/24/2018
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