Provider Demographics
NPI:1447470356
Name:VAZQUEZ PEREZ, ERMELINDA Z (MD)
Entity type:Individual
Prefix:DR
First Name:ERMELINDA
Middle Name:Z
Last Name:VAZQUEZ PEREZ
Suffix:
Gender:F
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:200 AVE RAFAEL CORDERO STE 140
Mailing Address - Street 2:PMB 718
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00725-4303
Mailing Address - Country:US
Mailing Address - Phone:787-604-3083
Mailing Address - Fax:787-854-1452
Practice Address - Street 1:AVE LUIS MUNOZ MARIN
Practice Address - Street 2:EDIF MERCANTIL CAGUAX APARTADO 425
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725
Practice Address - Country:US
Practice Address - Phone:787-653-4401
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-26
Last Update Date:2021-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR180814208D00000X
PR11520208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice