Individual
DANIEL VAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
CARR. 120 KM 0.9 INT, BO SANTANA, SABANA GRANDE, PR 00637-9604
(939) 450-6882
Mailing address
HC 10 BOX 6578, SABANA GRANDE, PR 00637-9604
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
000246
PR
Other
Enumeration date
10/27/2022
Last updated
10/27/2022
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