Provider Demographics
NPI:1184013450
Name:VAS-Q-LAR, INC
Entity Type:Organization
Organization Name:VAS-Q-LAR, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:LUIS
Authorized Official - Middle Name:A
Authorized Official - Last Name:QUERAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:786-442-7725
Mailing Address - Street 1:911 MALAGA AVE
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-6414
Mailing Address - Country:US
Mailing Address - Phone:786-442-7725
Mailing Address - Fax:
Practice Address - Street 1:6187 NW 167TH ST
Practice Address - Street 2:SUITE H13
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33015-4340
Practice Address - Country:US
Practice Address - Phone:305-599-5258
Practice Address - Fax:305-599-5259
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-09
Last Update Date:2015-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME1182982086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular SurgeryGroup - Single Specialty