Individual
GUSTAVO VAZQUEZ III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4 CALLE RVDO DOMINGO MARRERO, SAN JUAN, PR 00925-2118
(787) 759-6901
Mailing address
4 CALLE RVDO DOMINGO MARRERO, SAN JUAN, PR 00925-2118
(787) 759-6901
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
23499
PR
Other
Enumeration date
10/25/2019
Last updated
02/20/2024
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