Individual
JAVIER OMAR VAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
PO BOX 13, BAYAMON, PR 00960-0013
(787) 245-9145
Mailing address
PO BOX 13, BAYAMON, PR 00960-0013
(787) 245-9145
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
579
PR
Other
Enumeration date
05/23/2024
Last updated
05/23/2024
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