Individual
MYRNA ENID VAZQUEZ HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
735 AVE PONCE DE LEON, SAN JUAN, PR 00917-5022
(787) 299-4124
Mailing address
URB LAS BRISAS 126 CALLE 3, ARECIBO, PR 00612-5702
(787) 299-4124
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
024501
PR
390200000X
Student in an Organized Health Care Education/Training Program
16927-I
PR
Other
Enumeration date
04/25/2024
Last updated
08/04/2025
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