Individual
DR. VANESSA ETIENNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
CARR. NUM 2, KM. 11.7, BAYAMON, PR 00959
(787) 474-8282
Mailing address
PO BOX 141174, ARECIBO, PR 00614-1174
(229) 395-5645
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
17443-I
PR
390200000X
Student in an Organized Health Care Education/Training Program
Primary
17443-I
PR
Other
Enumeration date
07/24/2025
Last updated
05/14/2026
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