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Individual

DR. JUAN CARLOS VAZQUEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
917 AVE TITO CASTRO, PONCE, PR 00716-4717
(787) 844-2080
Mailing address
186 CARR 2 APT 301, GUAYNABO, PR 00966-1816
(787) 415-9588

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
21888
PR
207R00000X
Internal Medicine Physician
Primary
ME146940
FL

Other

Enumeration date
07/19/2016
Last updated
06/07/2021
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