Provider Demographics
NPI:1043244502
Name:VAQUER, RAFAEL ANTONIO (MD)
Entity Type:Individual
Prefix:
First Name:RAFAEL
Middle Name:ANTONIO
Last Name:VAQUER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:100 GRAN PASEOS PASEOS
Mailing Address - Street 2:SUITE 112-137
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-5905
Mailing Address - Country:US
Mailing Address - Phone:787-474-8878
Mailing Address - Fax:787-771-7445
Practice Address - Street 1:715 AVE. PONCE DE LEON, PDA. 37 1/2
Practice Address - Street 2:HOSPITAL AUXILIO MUTUO, WOMEN'S IMAGING CENTER
Practice Address - City:HATO REY
Practice Address - State:PR
Practice Address - Zip Code:00917
Practice Address - Country:US
Practice Address - Phone:787-474-8878
Practice Address - Fax:787-771-7445
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-10
Last Update Date:2013-07-17
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Provider Licenses
StateLicense IDTaxonomies
PR121132085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRED005ZOtherPTAN
PRED005ZOtherPTAN