Vazquez-Moreno, Victor M

Vazquez-Moreno, Victor M is an sole proprietor health care provider with primary practice located at 3211 Calle Rio Guayabo , Toa Alta PR 00953-9123. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is his primary health care specialty. Vazquez-Moreno, Victor M can be contacted via phone (787) 598-2780.

Contact Information

Primary practice address
3211 Calle Rio Guayabo Toa Alta PR 00953-9123
Phone: (787) 598-2780
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 47140020 Wisconsin
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X ME98266 Florida
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X ME98266 Florida
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 16854 Puerto Rico
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 16854 Puerto Rico
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 47140020 Wisconsin

Profile Details

NPI number 1568402725
LBN Legal business name Vazquez-Moreno, Victor M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 7th, 2006
Last updated Feb 26th, 2015 - 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 1568402725 NPPES
Wisconsin MEDICAID 3455900

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