Provider Demographics
NPI:1902259294
Name:VAZQUEZ-FIGUEROA, LIONEL DAVID (MD)
Entity type:Individual
Prefix:DR
First Name:LIONEL
Middle Name:DAVID
Last Name:VAZQUEZ-FIGUEROA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1500 AVE LOS ROMEROS APT 404
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-7013
Mailing Address - Country:US
Mailing Address - Phone:787-923-6175
Mailing Address - Fax:
Practice Address - Street 1:AV AMERICO MIRANDA S/N CENTRO MEDICO
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00935-2842
Practice Address - Country:US
Practice Address - Phone:787-474-0333
Practice Address - Fax:787-753-6390
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-21
Last Update Date:2024-10-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR15282208000000X
IL036.1723862084N0402X, 208000000X
PR355572084N0402X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0402XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology with Special Qualifications in Child NeurologyGroup - Single Specialty
No208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty