Individual
DR. MIRIAM KIMELY RIVERA VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
107 CALLE PADRE LAS CASAS, SAN JUAN, PR 00918-3104
(787) 520-6110
Mailing address
PO BOX 193044, SAN JUAN, PR 00919-3044
(787) 767-8758
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
024189
PR
Other
Enumeration date
03/22/2023
Last updated
01/14/2025
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