Organization
MSV DERMATOLOGY
Active
Other names
Marely Santiago Vazquez, MD
Organization subpart
No
Provider details
NPI number
Authorized official
MARELY SANTIAGO VAZQUEZ MD (OWNER)
(787) 237-5414
Entity
Organization
Contact information
Practice address
DERMAGALLERY, COND PALMANOVA PLAZA APT C 120, PALMAS DEL MAR, HUMACAO, PR 00791
(787) 718-7144
Mailing address
H20 PLAZA ONCE, SAN JUAN, PR 00926-1452
(787) 237-5414
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1144776865
—
PR
01
—
21880
STATE LIC
PR
05
—
PP539
—
PR
05
—
PP540
—
PR
Enumeration date
06/02/2022
Last updated
01/12/2023
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