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Individual

EDUARDO JOSE CORREA VAZQUEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PT, DPT

Contact information

Practice address
URB. CONDADO MODERNO AVE MUNOZ MARIN, M-13, CAGUAS, PR 00725
(787) 745-4355
Mailing address
105 AVE ARTERIAL HOSTOS APT 230, SAN JUAN, PR 00918-3052
(787) 648-7427

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004588
PR

Other

Enumeration date
01/29/2021
Last updated
01/29/2021
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