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Individual

DR. ENGRACIA TRUYOL-VAZQUEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
383 AVE FD ROOSEVELT, SAN JUAN, PR 00918-2143
(787) 622-5687
(888) 899-0977
Mailing address
383 AVE FD ROOSEVELT, SAN JUAN, PR 00918-2143
(787) 622-5687
(888) 899-0977

Taxonomy

Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
2643
PR
302R00000X
Health Maintenance Organization
2634
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2634
STATE LICENSE NUMBER
PR
01
DM 02325-9
DM LOCAL LICENCE
PR
Enumeration date
05/09/2007
Last updated
03/07/2023
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