Organization
XANOGENE LLC
Active
Other names
XanoGene, Anti Aging, Genomic & Holistic Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
PROF. JORGE B VAZQUEZ (MANAGER)
(787) 761-5880
Entity
Organization
Contact information
Practice address
300 AVE FELISA RINCON, LAS VISTAS SHOPPING VILLAGE, SAN JUAN, PR 00926-6088
(787) 761-5880
Mailing address
300 FELISA RINCON, LAS VISTAS SHOPPING VILLAGE, SAN JUAN, PR 00926
(787) 761-5880
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
11/23/2011
Last updated
11/23/2011
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