Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207PP0204X | Pediatric Emergency Physician | A91278 | CA |
Y | 207PP0204X | Pediatric Emergency Physician | ME 128390 | FL |
NPI | 1619009214 |
---|---|
Provider Name | Dr. Eugenio Vazquez |
First Address | Miami, FL 33155-3009 |
Second Address | Miami, FL 33155-3009 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/03/2007 |
Last Update Date | 07/07/2016 |