Individual
JOSE ROBERTO VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4203 CALLE MARGINAL, FAJARDO, PR 00738-3652
(787) 860-1603
Mailing address
HACIENDA LAS GARZAS #51, RIO GRANDE, PR 00745
(787) 308-9334
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6815
PR
Other
Enumeration date
12/01/2020
Last updated
12/01/2020
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