Individual
TATIANA VICED VARGAS SANTIAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
917 AVENIDA TITO CASTRO, HOSPITAL EPISCOPAL SAN LUCAS, PONCE, PR 00716
(787) 449-7540
Mailing address
4624 CALLE PAQUITO MONTANER, URB PERLA DEL SUR, PONCE, PR 00717
(787) 449-7540
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
21338
PR
208D00000X
General Practice Physician
33307R
PR
Other
Enumeration date
07/20/2017
Last updated
08/15/2019
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