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Individual

RAFAEL ANGEL VEGA-TORRES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
CASIA STREET # 10, VA MEDICAL CENTER, SAN JUAN, PR 00921-3201
(787) 641-7582
Mailing address
103 PLAZA NUEVE, GRAN VISTA 2, GURABO, PR 00778-5056
(787) 630-7217

Taxonomy

Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
10547
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
69595
PROVIDER # FOR CRUZ AZUL,
PR
01
8-2980
PROVIDER NUMBER SSS
PR
Enumeration date
07/11/2006
Last updated
04/30/2013
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