Provider Demographics
NPI:1841276151
Name:RODRIGUEZ VAZQUEZ, RAFAEL O (MD)
Entity type:Individual
Prefix:DR
First Name:RAFAEL
Middle Name:O
Last Name:RODRIGUEZ VAZQUEZ
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 2710
Mailing Address - Street 2:
Mailing Address - City:VEGA BAJA
Mailing Address - State:PR
Mailing Address - Zip Code:00694-2710
Mailing Address - Country:US
Mailing Address - Phone:787-807-7178
Mailing Address - Fax:787-855-3652
Practice Address - Street 1:113 CALLE MARGINAL
Practice Address - Street 2:URB. MONTECARLOS
Practice Address - City:VEGA BAJA
Practice Address - State:PR
Practice Address - Zip Code:00693-4218
Practice Address - Country:US
Practice Address - Phone:787-855-2749
Practice Address - Fax:787-855-3652
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-19
Last Update Date:2010-09-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PR14500208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice