| Dr Idel A Vazquez, MD | |
| Sgt. Luis Medina St. #361, Ext. Roosevelt, San Juan, PR 00918 | |
| (787) 484-5643 | |
| (787) 259-9156 | 
| Full Name | Dr Idel A Vazquez | 
|---|---|
| Gender | Male | 
| Speciality | General Practice | 
| Location | Sgt. Luis Medina St. #361, San Juan, Puerto Rico | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1699868315 | NPI | - | NPPES | 
| 16214 | Other | PR | STATE LICENSE TEM | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208D00000X | General Practice | 16214 (Puerto Rico) | Primary | 
| Entity Name | Centro Medico Central Coto Laurel, Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1679529648 PECOS PAC ID: 4688604887 Enrollment ID: O20050817000635 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Idel A Vazquez, MD 138 Ave Winston Churchill, San Juan, PR 00926-6013 Ph: (787) 840-1053 | Dr Idel A Vazquez, MD Sgt. Luis Medina St. #361, Ext. Roosevelt, San Juan, PR 00918 Ph: (787) 484-5643 | 
| Kady Cruz Estrada, 17872 General Practice Medicare: Not Enrolled in Medicare Practice Location: 1200 Carr 849, Vista Verde Apt 334a, San Juan, PR 00924 Phone: 787-969-1545 | |
| Dr. Rafael A Davila Micheo, MD, EIT General Practice Medicare: Medicare Enrolled Practice Location: Centro Medico De Puerto Rico, San Juan, PR 00935 Phone: 787-777-3535 | |
| Ms. Paola Andrea Colon Bonilla,  General Practice Medicare: Not Enrolled in Medicare Practice Location: 1430 Ave San Alfonso Apt 2101, San Juan, PR 00921 Phone: 787-415-8606 | |
| Dr. Laura Maria Gomez Santana,  General Practice Medicare: Medicare Enrolled Practice Location: #550 Calle Sergio Cuevas Bustamante, Esq. Ave Domenech, San Juan, PR 00918 Phone: 787-758-8383 | |
| Carlos M Gonzalez-lugo, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 205 Calle San Justo, Apt. 2a, San Juan, PR 00901 Phone: 787-724-0017 | |
| Dr. Yudit Maytee Brito Pequera,  General Practice Medicare: Medicare Enrolled Practice Location: 735 Ave Ponce De Leon, Ste 715, San Juan, PR 00917 Phone: 787-967-6769 | |
| Leidy Esther Valerio Perez, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: Bo. Monacillos, San Juan, PR 00935 Phone: 787-754-0101 |