Provider Demographics
NPI:1184812893
Name:VAZQUEZ GONZALEZ, YAMILA (MD)
Entity type:Individual
Prefix:DR
First Name:YAMILA
Middle Name:
Last Name:VAZQUEZ GONZALEZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:YAMILA
Other - Middle Name:
Other - Last Name:VAZQUEZ GONZALEZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:1959 CALLE LOIZA
Mailing Address - Street 2:PO BOX 6342
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00914
Mailing Address - Country:US
Mailing Address - Phone:787-595-1558
Mailing Address - Fax:
Practice Address - Street 1:1401 FOUCHER ST
Practice Address - Street 2:TOURO INFIMARY
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70115-3515
Practice Address - Country:US
Practice Address - Phone:787-595-1558
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-09
Last Update Date:2011-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA204362207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine