Individual
LINETTE BOSQUES VARGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FAAP
Contact information
Practice address
MANATI MEDICAL CENTER, MANATI, PR 00674
(787) 631-3700
Mailing address
URB SABANERA DORADO, CAMINO DE LA TORRE 620, DORADO, PR 00646-8395
(939) 630-5413
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
21011
PR
208D00000X
General Practice Physician
21011
PR
390200000X
Student in an Organized Health Care Education/Training Program
14235I
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21011
LICENCE
—
Enumeration date
07/19/2016
Last updated
06/08/2021
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