Provider Demographics
NPI:1386849586
Name:VAZQUEZ RAMOS, ADOLFO (MD)
Entity Type:Individual
Prefix:DR
First Name:ADOLFO
Middle Name:
Last Name:VAZQUEZ RAMOS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 UCAR
Mailing Address - Street 2:URBANIZACION LOS FLAMBOYANES
Mailing Address - City:GURABO
Mailing Address - State:PR
Mailing Address - Zip Code:00778
Mailing Address - Country:US
Mailing Address - Phone:787-315-1569
Mailing Address - Fax:
Practice Address - Street 1:URBANIZACION LOS FLAMBOYANES 9 UCAR
Practice Address - Street 2:
Practice Address - City:GURABO
Practice Address - State:PR
Practice Address - Zip Code:00778
Practice Address - Country:US
Practice Address - Phone:787-315-1569
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-18
Last Update Date:2022-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR15647261QM2800X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No261QM2800XAmbulatory Health Care FacilitiesClinic/CenterMethadone