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Individual

RAFAEL ANTONIO VAQUER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
715 AVE. PONCE DE LEON, PDA. 37 1/2, HOSPITAL AUXILIO MUTUO, WOMEN'S IMAGING CENTER, HATO REY, PR 00917
(787) 474-8878
(787) 771-7445
Mailing address
100 GRAN PASEOS PASEOS, SUITE 112-137, SAN JUAN, PR 00926-5905
(787) 474-8878
(787) 771-7445

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
12113
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
ED005Z
PTAN
PR
Enumeration date
07/10/2006
Last updated
07/17/2013
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