Individual
DR. HUMBERTO VAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D., M.S.
Contact information
Practice address
URB MARIANI 1577 -MUNOZ RIVERA AVE., SUITE 2, PONCE, PR 00717-0211
(787) 840-5515
Mailing address
PO BOX 406, GUANICA, PR 00653-0406
(787) 841-5515
(787) 841-5515
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
1166
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
41186
TRIPLE S, INC.
PR
Enumeration date
03/16/2006
Last updated
05/06/2013
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