Provider Demographics
NPI:1194807461
Name:VAZQUEZ ROURA, FRANCIS (MD)
Entity type:Individual
Prefix:
First Name:FRANCIS
Middle Name:
Last Name:VAZQUEZ ROURA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 7301
Mailing Address - Street 2:
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00732-7301
Mailing Address - Country:US
Mailing Address - Phone:787-843-4588
Mailing Address - Fax:787-840-0907
Practice Address - Street 1:1203 AVE MUNOZ RIVERA
Practice Address - Street 2:VILLA GRILLASCA
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00717-0634
Practice Address - Country:US
Practice Address - Phone:787-843-4588
Practice Address - Fax:787-840-0907
Is Sole Proprietor?:No
Enumeration Date:2006-10-19
Last Update Date:2011-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR10649207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
10649OtherPUERTO RICO DEPT OF HEALT
060169OtherCRUZ AZUL
04498OtherAMERICAN HEALTH PLAN
10649OtherSERVICIOS DE SALUS CORREC
4810649OtherUNION DE TRABAJADORES IND
7310300OtherHUMANA
83008OtherBLUE CROSS BLUE SHIELD
0007457275OtherAETNA
10649OtherCIGNA
7310300OtherHUMANA
83008Medicare ID - Type Unspecified