Provider Demographics
NPI:1518285642
Name:VAZQUEZ, ANEUDY (TEM)
Entity type:Individual
Prefix:MR
First Name:ANEUDY
Middle Name:
Last Name:VAZQUEZ
Suffix:
Gender:M
Credentials:TEM
Other - Prefix:MR
Other - First Name:ANEUDY
Other - Middle Name:
Other - Last Name:VAZQUEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:TEM
Mailing Address - Street 1:CARR 404 INT 4419 BO NARANJO
Mailing Address - Street 2:
Mailing Address - City:MOCA
Mailing Address - State:PR
Mailing Address - Zip Code:00676
Mailing Address - Country:US
Mailing Address - Phone:787-397-8057
Mailing Address - Fax:
Practice Address - Street 1:2325 AVE ALBIZU CAMPOS
Practice Address - Street 2:
Practice Address - City:RINCON
Practice Address - State:PR
Practice Address - Zip Code:00677-2432
Practice Address - Country:US
Practice Address - Phone:787-397-8057
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-13
Last Update Date:2010-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR146L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, Paramedic