Individual
EDWIN VAZQUEZ AYALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
CENTRO AMBULATORIO HIMA SAN PABLO, AVE. MUNOZ RIVERA A-1, CAGUAS, PR 00725-0000
(787) 653-3434
Mailing address
URB. VEREDAS, RESIDENCIA #688, VEREDA DE LOS CEDROS, GURABO, PR 00778-0000
(787) 449-6084
(787) 747-6530
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
11449
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11449
DOCTORS STATE LICENCE
PR
Enumeration date
07/21/2006
Last updated
07/08/2007
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