Provider Demographics
NPI:1669673018
Name:VAZQUEZ DIAZ, MARIA M (MD)
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:M
Last Name:VAZQUEZ DIAZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:714 CALLE MAR MEDITERRANEO
Mailing Address - Street 2:PASEO LOS CORALES II
Mailing Address - City:DORADO
Mailing Address - State:PR
Mailing Address - Zip Code:00646-4535
Mailing Address - Country:US
Mailing Address - Phone:787-253-4080
Mailing Address - Fax:787-966-8967
Practice Address - Street 1:6772 AV. ISLA VERDE SUITE 101-A
Practice Address - Street 2:
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00979
Practice Address - Country:US
Practice Address - Phone:787-253-4080
Practice Address - Fax:787-710-9878
Is Sole Proprietor?:No
Enumeration Date:2007-05-31
Last Update Date:2020-12-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR16069207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine