Individual
IAN JAVIER VAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LND, RD
Contact information
Practice address
1456 CALLE PROF. AUGUSTO RODRIGUEZ, SAN JUAN, PR 00909
(787) 230-7530
Mailing address
URB. LOMAS VERDES, 2 J 10 CALLE FLAMBOYAN, BAYAMON, PR 00956-3429
(787) 662-6348
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2104
PR
Other
Enumeration date
08/22/2019
Last updated
01/02/2025
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