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Individual

DR. PEDRO-JUAN VAZQUEZ BRAGAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
HOSPITAL SAN CRISTOBAL, CALLE ACEROLA, COTO LAUREL, PONCE, PR 00780
(787) 842-2100
Mailing address
186 PR 2 ACQUALINA 801, GUAYNABO, PR 00966
(787) 342-3026

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
22447
PR
208D00000X
General Practice Physician
Primary
15625I
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
15625I
MEDICAL INTERN AT HOSPITAL SAN CRISTOBAL
PR
Enumeration date
07/30/2021
Last updated
07/30/2021
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