Provider Demographics
NPI:1013950682
Name:VAZQUEZ TORRES, MARIA DE LAS MERCEDES (MD)
Entity Type:Individual
Prefix:DR
First Name:MARIA DE LAS
Middle Name:MERCEDES
Last Name:VAZQUEZ TORRES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:MARIA
Other - Middle Name:
Other - Last Name:VAZQUEZ TORRES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:3725 S HIGHWAY 27 STE 101
Mailing Address - Street 2:
Mailing Address - City:CLERMONT
Mailing Address - State:FL
Mailing Address - Zip Code:34711-7600
Mailing Address - Country:US
Mailing Address - Phone:352-242-0676
Mailing Address - Fax:352-242-1335
Practice Address - Street 1:3725 S HWY 27 STE 101
Practice Address - Street 2:
Practice Address - City:CLERMONT
Practice Address - State:FL
Practice Address - Zip Code:34711-7600
Practice Address - Country:US
Practice Address - Phone:352-242-0676
Practice Address - Fax:352-242-1335
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-13
Last Update Date:2023-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLACN555208D00000X, 208D00000X
PR15753208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice