Provider Demographics
NPI:1124221270
Name:VAZQUEZ PEREZ, YANIRA Z (MD)
Entity Type:Individual
Prefix:
First Name:YANIRA
Middle Name:Z
Last Name:VAZQUEZ PEREZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CARR #803 KM 10.1 BO. CEDRO ARRIBA
Mailing Address - Street 2:HC-72 BOX 3951
Mailing Address - City:NARANJITO
Mailing Address - State:PR
Mailing Address - Zip Code:00719
Mailing Address - Country:US
Mailing Address - Phone:787-869-4721
Mailing Address - Fax:
Practice Address - Street 1:CARR #803 KM 10.1 BO. CEDRO ARRIBA
Practice Address - Street 2:HC-72 BOX 3951
Practice Address - City:NARANJITO
Practice Address - State:PR
Practice Address - Zip Code:00719
Practice Address - Country:US
Practice Address - Phone:787-869-4721
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-07
Last Update Date:2010-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR17088208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation