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Individual

MISS PAOLA MICHELLE VAZQUEZ I

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
UNIVERSITY DISTRICT HOSPITAL, SAN JUAN, PR 00935-0001
(787) 754-0101
Mailing address
COND LINCOLN PARK APT 7K, GUAYNABO, PR 00969-3365
(787) 298-3674

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
23157
PR
390200000X
Student in an Organized Health Care Education/Training Program
6109244
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
519953799
MEDICAL STUDENT
PR
Enumeration date
06/03/2019
Last updated
06/16/2025
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