Vazquez, Carlos R
Vazquez, Carlos R is an individual health care provider with primary practice located at 2211 S Burnside Ave Ste 4, Gonzales LA 70737-4634. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nuclear Cardiology. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Vazquez, Carlos R can be contacted via phone (225) 647-1947.Contact Information
Primary practice address
2211 S Burnside Ave Ste 4
Gonzales LA 70737-4634
Phone: (225) 647-1947
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 022083 | Louisiana |
Allopathic & Osteopathic Physicians / Nuclear Cardiology | 207UN0901X | 022083 | Louisiana |
Profile Details
NPI number | 1326076266 |
---|---|
LBN Legal business name | Vazquez, Carlos R |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 29th, 2006 |
Last updated | Aug 22nd, 2016 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1326076266 | NPPES |
Louisiana | MEDICAID | 1495859 |
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