Individual
CARLOS VAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
4864958
Contact information
Practice address
386 CALLE SARRIA, SAN JUAN, PR 00923-1616
(787) 513-7095
Mailing address
PO BOX 9701, CAROLINA, PR 00988-9701
(787) 513-7095
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
15101
PR
Other
Enumeration date
09/07/2016
Last updated
09/07/2016
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