| Luis E Vazquez Md Llc | |
|
7225 Bergenline Ave North Bergen NJ 07047-5497 | |
| (201) 758-8012 | |
| (201) 758-8013 |
| Full Name | Luis E Vazquez Md Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 7225 Bergenline Ave, North Bergen, New Jersey |
| Authorized Official Name and Position | Luis E Vazquez (OWNER) |
| Authorized Official Contact | 2017588012 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Luis E Vazquez Md Llc 7225 Bergenline Ave North Bergen NJ 07047-5497 Ph: (201) 758-8012 | Luis E Vazquez Md Llc 7225 Bergenline Ave North Bergen NJ 07047-5497 Ph: (201) 758-8012 |
| NPI Number | 1619200987 |
|---|---|
| Provider Enumeration Date | 09/17/2009 |
| Last Update Date | 09/17/2009 |
| Medicare PECOS PAC ID | 2365580644 |
|---|---|
| Medicare Enrollment ID | O20091105000612 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619200987 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 25MA07945600 (New Jersey) | Primary |
| Provider Name | Luis E Vazquez Falcon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134132871 PECOS PAC ID: 6507881844 Enrollment ID: I20060113000654 |
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