Individual
MARELY SANTIAGO VAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
DERMAGALLERY, COND PALMANOVA PLAZA APT C 120, PALMAS DEL MAR, HUMACAO, PR 00791-0079
(787) 718-7144
Mailing address
PLAZA ONCE H20, CAMBRIDGE PARK, SAN JUAN, PR 00926-1452
(787) 237-5414
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
21880
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1144776865
—
PR
01
—
21880
STATE LIC
PR
Enumeration date
09/01/2016
Last updated
01/12/2023
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