Provider Demographics
NPI:1083305445
Name:VAZQUEZ-MARTINEZ, HECTOR GABRIEL (PHARMD)
Entity Type:Individual
Prefix:
First Name:HECTOR
Middle Name:GABRIEL
Last Name:VAZQUEZ-MARTINEZ
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 CALLE DADNA ORTIZ VAZQUEZ
Mailing Address - Street 2:
Mailing Address - City:SABANA GRANDE
Mailing Address - State:PR
Mailing Address - Zip Code:00637-1502
Mailing Address - Country:US
Mailing Address - Phone:787-925-8486
Mailing Address - Fax:
Practice Address - Street 1:AVENIDA PEDRO ALBIZU CAMPOS
Practice Address - Street 2:URBANIZACION LA HACIENDA
Practice Address - City:GUAYAMA
Practice Address - State:PR
Practice Address - Zip Code:00785
Practice Address - Country:US
Practice Address - Phone:787-864-4300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-17
Last Update Date:2023-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR7082183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist