Individual
DR. MARIELA VAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
#1 SAN MANUEL, COROZAL, PR 00783
(787) 859-2729
(787) 801-4124
Mailing address
1 CALLE SAN MANUEL, COROZAL, PR 00783-2086
(787) 859-2729
(787) 802-4124
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5526
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5526
PHARMACIST LICENSE
PR
Enumeration date
01/16/2013
Last updated
01/16/2013
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