Provider Demographics
NPI:1326366451
Name:VAZQUEZ, TOMAS A (TEM)
Entity Type:Individual
Prefix:MR
First Name:TOMAS
Middle Name:A
Last Name:VAZQUEZ
Suffix:
Gender:M
Credentials:TEM
Other - Prefix:MR
Other - First Name:TOMAS
Other - Middle Name:A
Other - Last Name:VAZQUEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:TEM
Mailing Address - Street 1:CARR 4419 BO NARANJO SECTOR VAZQUEZ
Mailing Address - Street 2:
Mailing Address - City:MOCA
Mailing Address - State:PR
Mailing Address - Zip Code:00676
Mailing Address - Country:US
Mailing Address - Phone:787-381-3278
Mailing Address - Fax:
Practice Address - Street 1:CARR 4419 BO NARANJO SECTOR VAZQUEZ
Practice Address - Street 2:
Practice Address - City:MOCA
Practice Address - State:PR
Practice Address - Zip Code:00676
Practice Address - Country:US
Practice Address - Phone:787-381-3278
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-13
Last Update Date:2010-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR146L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, Paramedic