Individual
DR. ESTEBAN MANUEL VAZQUEZ-VALENCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
257 CALLE MENDEZ VIGO, DORADO, PR 00646-4905
(787) 278-0830
Mailing address
257 CALLE MENDEZ VIGO, DORADO, PR 00646-4905
(787) 475-7660
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
19136
PR
207W00000X
Ophthalmology Physician
MD466563
PA
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
19136
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19136
PR STATE MEDICAL LICENSE
PR
01
—
31511R
PUERTO RICO STATE LICENSING BOARD
PR
Enumeration date
07/26/2014
Last updated
07/21/2020
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