Individual
HUMBERTO OMAR VAZQUEZ COLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D, B.S
Contact information
Practice address
7010 PASEO LA FORTUNA, COTO LAUREL, PR 00780-2306
(787) 612-7597
Mailing address
7010 PASEO LA FORTUNA, COTO LAUREL, PR 00780-2306
(787) 612-7597
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2912
PR
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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