Individual
DR. ROSA TANIA VASQUEZ CASTELLANOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
CARRETERA 420 KM 4.4, BO PLATA, MOCA, PR 00676
(787) 951-8978
(787) 818-0900
Mailing address
PO BOX 367, SAN SEBASTIAN, PR 00685-0367
(787) 951-8978
(787) 818-0900
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
21471
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4386909
PR LICENSE NUMBER
PR
Enumeration date
07/22/2019
Last updated
07/22/2019
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