Provider Demographics
NPI:1376512392
Name:VAZQUEZ TORRES, ORLANDO L (MD)
Entity Type:Individual
Prefix:DR
First Name:ORLANDO
Middle Name:L
Last Name:VAZQUEZ TORRES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 7776
Mailing Address - Street 2:
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00732-7776
Mailing Address - Country:US
Mailing Address - Phone:787-848-3076
Mailing Address - Fax:787-840-2104
Practice Address - Street 1:2431 AVE LAS AMERICAS
Practice Address - Street 2:STE 300
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00717-2113
Practice Address - Country:US
Practice Address - Phone:787-840-2104
Practice Address - Fax:787-840-2104
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-14
Last Update Date:2010-03-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR5825207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0028077BMedicare PIN
C77373Medicare UPIN