Individual
LOURDES A MIGUEL VAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
CALLE JOSE DE DIEGO, AGUADILLA PUEBLO, AGUADILLA, PR 00603
(787) 658-0200
Mailing address
312 AVE JOSE DE DIEGO STE 103, ARECIBO, PR 00612-4586
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
21451
PR
208D00000X
General Practice Physician
21451
PR
390200000X
Student in an Organized Health Care Education/Training Program
14325I
PR
Other
Enumeration date
08/21/2017
Last updated
12/26/2024
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