Individual
WILSON OMAR MOLINA VAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3 SEC. CALLE J RI - 8, URB TURABO GARDENS, CAGUAS, PR 00725
(787) 455-5660
Mailing address
RI8 CALLE J, TURABO GARDENS, CAGUAS, PR 00725
(787) 455-5660
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
19796
PR
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
06/22/2016
Last updated
03/17/2018
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