Provider Demographics
NPI:1508951195
Name:VAZQUEZ URQUIA, LUIS J (OPTOMETRIST)
Entity Type:Individual
Prefix:MR
First Name:LUIS
Middle Name:J
Last Name:VAZQUEZ URQUIA
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Gender:M
Credentials:OPTOMETRIST
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Mailing Address - Street 1:LOS ARCOS DE SUCHVILLE # 105
Mailing Address - Street 2:CALLE 3 #81
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00966-1679
Mailing Address - Country:US
Mailing Address - Phone:787-773-7987
Mailing Address - Fax:787-754-6695
Practice Address - Street 1:LOS ARCOS DE SUCHVILLE # 105
Practice Address - Street 2:CALLE 3 #81
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00966-1679
Practice Address - Country:US
Practice Address - Phone:787-773-7987
Practice Address - Fax:787-754-6695
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2016-09-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PR000536152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist