Individual
MIGUEL VAZQUEZ BOTET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
386 AVE DOMENECH, SAN JUAN, PR 00918-3719
(787) 765-9598
(787) 765-4103
Mailing address
386 AVE DOMENECH, SAN JUAN, PR 00918-3719
(787) 765-9598
(787) 765-4103
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
5662
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0027190
MEDICARE NUMBER
PR
01
—
26193
MEDICARE PROVIDER
PR
Enumeration date
10/05/2005
Last updated
08/06/2009
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