Provider Demographics
NPI:1578723524
Name:VAZQUEZ, ZAEL (MD)
Entity type:Individual
Prefix:
First Name:ZAEL
Middle Name:
Last Name:VAZQUEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6465 SW 128TH CT
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33183-5650
Mailing Address - Country:US
Mailing Address - Phone:786-510-4212
Mailing Address - Fax:
Practice Address - Street 1:9700 STIRLING RD STE 108
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33024-8011
Practice Address - Country:US
Practice Address - Phone:954-686-5575
Practice Address - Fax:954-743-0514
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-12
Last Update Date:2024-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMT191676207R00000X
FLME119514207R00000X, 207RC0200X, 207RP1001X
PAMD440912207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine