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Individual

VASCO EGUIA MOREDA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

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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