Individual
JEAN MANUEL VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
AVE. PEDRO ALBIZU CAMPOS, URB. LA HACIENDA, GUAYAMA, PR 00784
(787) 864-4300
Mailing address
11821 PETHRICK DR, ORLANDO, FL 32824-4427
(787) 222-9799
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
16213-I
PR
Other
Enumeration date
04/10/2023
Last updated
04/10/2023
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