Provider Demographics
NPI:1407976145
Name:VAZQUEZ, SUZEL (MD)
Entity Type:Individual
Prefix:DR
First Name:SUZEL
Middle Name:
Last Name:VAZQUEZ
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 1:9445 OLD CUTLER LN
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33156-2244
Mailing Address - Country:US
Mailing Address - Phone:305-669-0197
Mailing Address - Fax:305-373-1175
Practice Address - Street 1:6705 S RED RD
Practice Address - Street 2:SUITE708
Practice Address - City:SOUTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-3622
Practice Address - Country:US
Practice Address - Phone:786-431-4510
Practice Address - Fax:786-431-4536
Is Sole Proprietor?:No
Enumeration Date:2007-03-29
Last Update Date:2010-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME52276207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism