Individual
JOSE MANUEL GOMEZ VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
SANTURCE MEDICAL MALL, 1801 AVE PONCE DE LEON SUITE 101 B, SANTURCE, PR 00921
(787) 728-6093
(787) 728-6093
Mailing address
PO BOX 367083, SAN JUAN, PR 00936-7083
(787) 226-8890
(787) 728-6093
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
21210
PR
Other
Enumeration date
01/31/2019
Last updated
01/31/2019
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