Individual
DR. VANESSA LYNETTE VAZQUEZ
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
40 CALLE MUNOZ RIVERA, TOA BAJA, PR 00949-2443
(787) 794-9085
(787) 794-9085
Mailing address
1708 CALLE SAN GUILLERMO, SAN JUAN, PR 00927-6550
(787) 758-3309
(787) 794-9085
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1695
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
41829
PROV #FOR BLUE CROSS
PR
01
—
42148
PROVIDER NUMBER FORSSS
PR
Enumeration date
07/19/2005
Last updated
07/08/2007
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