Dr. Jose Alan De La Rosa Vazquez, MD
Internal Medicine in Elizabethtown, KY. Individual provider (NPI-1).
NPI number1457097263
StatusActive
Last updated in NPPESDec 1, 2025
Details
- NPI
- 1457097263
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jose Alan De La Rosa Vazquez
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 5, 2022
- Certification date
- Dec 1, 2025
- Last updated
- Dec 1, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 61386 | KY | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | 1457097263 | TX | |
| 390200000X | Student in an Organized Health Care Education/Training Program | BP10081505 | TX |
Practice location
913 N Dixie AveElizabethtown, KY 42701-2503
Phone 270-706-5612 · Fax 270-706-5615
Mailing address
835 E Main St Unit 535Louisville, KY 40206-2298
Other practice locations
4801 Alberta Ave
El Paso, TX 79905-2707
El Paso, TX 79905-2707
Phone 915-215-8000
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