Provider Demographics
NPI:1003858101
Name:VAZQUEZ CANCEL, LUZ E (MD)
Entity Type:Individual
Prefix:DR
First Name:LUZ
Middle Name:E
Last Name:VAZQUEZ CANCEL
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:PO BOX 1646
Mailing Address - Street 2:
Mailing Address - City:CANOVANAS
Mailing Address - State:PR
Mailing Address - Zip Code:00729-1646
Mailing Address - Country:US
Mailing Address - Phone:787-256-5544
Mailing Address - Fax:787-752-8325
Practice Address - Street 1:AA10 LOIZA VALLEY MALL
Practice Address - Street 2:URB. LOIZA VALLEY
Practice Address - City:CANOVANAS
Practice Address - State:PR
Practice Address - Zip Code:00729
Practice Address - Country:US
Practice Address - Phone:787-256-5544
Practice Address - Fax:787-256-5544
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-12
Last Update Date:2023-03-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PR7291208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRAV2799837OtherFEDERAL DEA NUMBER