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Individual

AGUSTIN VAZQUEZ RODRIGUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
CARR 167 KM 10.9, BAYAMON, PR 00956
(787) 730-3446
Mailing address
CARR 167 KM 10.9, BAYAMON, PR 00956
(787) 730-3446

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
24006
PR
363A00000X
Physician Assistant
24006
PR

Other

Enumeration date
07/09/2020
Last updated
03/26/2025
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