Provider Demographics
NPI:1437251733
Name:GALAN VAZQUEZ, RICARDO D (MD)
Entity Type:Individual
Prefix:DR
First Name:RICARDO
Middle Name:D
Last Name:GALAN 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 1:576 CALLE MAR CARIBE # I
Mailing Address - Street 2:
Mailing Address - City:DORADO
Mailing Address - State:PR
Mailing Address - Zip Code:00646-4506
Mailing Address - Country:US
Mailing Address - Phone:787-622-5440
Mailing Address - Fax:787-278-0522
Practice Address - Street 1:MAR CARIBE 576 PASEO LOS CORALES I
Practice Address - Street 2:
Practice Address - City:DORADO
Practice Address - State:PR
Practice Address - Zip Code:00646
Practice Address - Country:US
Practice Address - Phone:787-278-0522
Practice Address - Fax:787-278-0522
Is Sole Proprietor?:No
Enumeration Date:2006-09-05
Last Update Date:2010-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR11405207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0089412Medicare PIN