Provider Demographics
NPI:1598860785
Name:VAZQUEZ ROMERO, GILBERTO (MD)
Entity Type:Individual
Prefix:
First Name:GILBERTO
Middle Name:
Last Name:VAZQUEZ ROMERO
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 1:100 AVE LA SIERRA
Mailing Address - Street 2:COND. LA SIERRA DEL SOL APT. B-17
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-4316
Mailing Address - Country:US
Mailing Address - Phone:787-760-0307
Mailing Address - Fax:
Practice Address - Street 1:VILLA CAROLINA
Practice Address - Street 2:CALLE 11 BLQ. 33 #8
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00985-5436
Practice Address - Country:US
Practice Address - Phone:787-769-2296
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-13
Last Update Date:2019-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR9755207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism