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Individual

DR. JUAN LUIS VAZQUEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
404 AVE GENERAL VALERO, FAJARDO, PR 00738-3998
(787) 988-9431
Mailing address
RIO GRANDE ESTATES C/6-A F-18, RIO GRANDE, PR 00745
(787) 988-9431

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
21599
PR

Other

Enumeration date
11/19/2019
Last updated
11/19/2019
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