Individual
REBECA ENID VAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PULMONOLOGIST, MD
Contact information
Practice address
410 AVE HOSTOS STE 112, MAYAGUEZ, PR 00682-1560
(787) 689-4334
Mailing address
410 AVE HOSTOS STE 112, MAYAGUEZ, PR 00682-1560
(787) 689-4334
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
21344
PR
207RP1001X
Pulmonary Disease Physician
Primary
21344
PR
208D00000X
General Practice Physician
21344
PR
390200000X
Student in an Organized Health Care Education/Training Program
32314R
PR
Other
Enumeration date
07/12/2016
Last updated
10/07/2024
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