Individual
JOSE ROBERTO RODRIGUEZ VAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10 CALLE CASIA, MEDICAL SERVICE (111) OFFICE C-274, SAN JUAN, PR 00921-3200
(787) 641-3670
Mailing address
10 CALLE CASIA, MEDICAL SERVICE (111) OFFICE C-274, SAN JUAN, PR 00921-3200
(787) 641-3670
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/28/2017
Last updated
03/28/2017
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