Provider Demographics
NPI:1619013133
Name:DIAZ VAZQUEZ, ARTURO (MD)
Entity Type:Individual
Prefix:
First Name:ARTURO
Middle Name:
Last Name:DIAZ 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:PO BOX 1654
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00960-1654
Mailing Address - Country:US
Mailing Address - Phone:787-787-7200
Mailing Address - Fax:787-785-8603
Practice Address - Street 1:BAYAMON MEDICAL PLAZA
Practice Address - Street 2:OFICINA 506
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00960
Practice Address - Country:US
Practice Address - Phone:787-787-7200
Practice Address - Fax:787-785-8603
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-30
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR7604208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
0029325Medicare PIN
D08505Medicare UPIN