Basic Information
| Provider Information | |||||||||
| NPI: | 1710326707 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | VASQUEZ DE BRACAMONTE | ||||||||
| FirstName: | DIEGO | ||||||||
| MiddleName: | ALONSO | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 970 FREEPORT RD | ||||||||
| Address2: | |||||||||
| City: | PITTSBURGH | ||||||||
| State: | PA | ||||||||
| PostalCode: | 152383100 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4126211818 | ||||||||
| FaxNumber: | 4126214337 | ||||||||
| Practice Location | |||||||||
| Address1: | 970 FREEPORT RD | ||||||||
| Address2: | |||||||||
| City: | PITTSBURGH | ||||||||
| State: | PA | ||||||||
| PostalCode: | 152383100 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4126211818 | ||||||||
| FaxNumber: | 4126214337 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/23/2013 | ||||||||
| LastUpdateDate: | 08/06/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 08/06/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207V00000X | MD459795 | PA | Y | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |
No ID Information.