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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326076266 NPPES
Louisiana MEDICAID 1495859

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