Individual
MR. OMAR VAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
149 URB VALLES DE ANASCO, ANASCO, PR 00610-9659
(787) 322-1722
Mailing address
149 URB VALLES DE ANASCO, ANASCO, PR 00610-9659
(787) 322-1722
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN11006586
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
PR
Other
Enumeration date
06/07/2019
Last updated
12/04/2020
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