Individual
WALISBETH CLASS-VAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
239 ARTERIAL HOSTOS AVE, SUITE 305, SAN JUAN, PR 00918-1476
(939) 484-2484
Mailing address
D14 CALLE PARKSIDE 6 APT 906, GUAYNABO, PR 00968-3338
(787) 404-7820
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
18885
PR
207RG0100X
Gastroenterology Physician
138622
FL
207RG0100X
Gastroenterology Physician
Primary
18885
PR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/02/2013
Last updated
05/31/2022
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