Individual
THOMAS ANTONIO VAZQUEZ SUAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10 CALLE CASIA, SAN JUAN, PR 00921-3200
(787) 641-7582
Mailing address
1550 BLVD. MIGUEL A POU COND. PASEO DEL REY, APT.2402, PONCE, PR 00716-7004
(787) 379-0699
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
36168
PR
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
05/07/2020
Last updated
04/27/2023
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