Provider Demographics
NPI:1881046514
Name:VASQUEZ BUITRON, PAMELA CATALINA (MD)
Entity type:Individual
Prefix:DR
First Name:PAMELA
Middle Name:CATALINA
Last Name:VASQUEZ BUITRON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:PAMELA
Other - Middle Name:
Other - Last Name:VASQUEZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:601 LAUCHWOOD DR
Mailing Address - Street 2:
Mailing Address - City:LAURINBURG
Mailing Address - State:NC
Mailing Address - Zip Code:28352-5510
Mailing Address - Country:US
Mailing Address - Phone:910-504-8500
Mailing Address - Fax:910-504-8540
Practice Address - Street 1:601 LAUCHWOOD DR
Practice Address - Street 2:
Practice Address - City:LAURINBURG
Practice Address - State:NC
Practice Address - Zip Code:28352-5510
Practice Address - Country:US
Practice Address - Phone:910-504-8500
Practice Address - Fax:910-504-8540
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-06
Last Update Date:2022-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMMD2019-0644207R00000X
MA268316207R00000X
NC2022-00395207RN0300X, 207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine