Individual
DR. JUAN CARLOS VAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
10 CASIA STREET, VA CARIBBEAN HEALTHCARE SYSTEM, SAN JUAN, PR 00921-0000
(787) 641-7582
Mailing address
PO BOX 302, BAYAMON, PR 00960-0302
(787) 938-8601
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2878
PR
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
07/08/2010
Last updated
03/30/2021
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