Individual
VASCO EGUIA MOREDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1607 AVE PONCE DE LEON STE GM04, SAN JUAN, PR 00909-1803
(787) 910-0909
(888) 588-0319
Mailing address
1353 AVE LUIS VIGOREAUX, PMB 757, GUAYNABO, PR 00966-2715
(787) 910-0909
(888) 588-0319
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
20447
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
037891301
—
PR
05
—
037939901
—
PR
05
—
038026302
—
PR
05
—
038026303
—
PR
05
—
038026304
—
PR
05
—
038026305
—
PR
Enumeration date
01/15/2009
Last updated
07/12/2021
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