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Individual

MRS. JOSE M. VEGA EMMANUELLI SR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
CALLE DUFRESNE 9 E, HUMACAO, PR 00791
(787) 852-5753
(787) 285-4332
Mailing address
PO BOX 8457, HUMACAO, PR 00792
(787) 852-5753
(787) 285-4332

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5587
PR

Other

Enumeration date
11/25/2005
Last updated
04/27/2015
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