Individual
MARISEL VAZQUEZ DELGADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 CARR 189, CAMINITO ALTO APT 142, GURABO, PR 00778
(939) 308-0623
Mailing address
CAMINITO ALTO APT 142, 800 CARR 189, GURABO, PR 00778
(939) 308-0623
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
23417
PR
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
04/27/2021
Last updated
02/09/2024
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