Individual
DR. LARRY J VANDAALEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
CARR 21, NO U-3-4 LAS LOMAS, RIO PIEDRAS, PR 00921-0000
(787) 793-0440
(787) 781-2766
Mailing address
1353 CARR 19, PMB 139, GUAYNABO, PR 00966-2700
(787) 793-0440
(787) 781-2766
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
6837
PR
Other
Enumeration date
10/24/2005
Last updated
02/13/2008
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