Individual
LISSANDRA MARIA VAZQUEZ GRILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
UNIVERSIDAD DE PUERTO RICO, RECINTO DE SCIENCIAS MEDICAS, SAN JUAN, PR 00935-0001
(787) 758-2525
Mailing address
500 CALLE VALCALCER, COOPERATIVA DE VIVIENDAS EL ALCAZAR APARTAMENTO 17 J, SAN JUAN, PR 00923
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
00000000
PR
Other
Enumeration date
06/14/2017
Last updated
06/14/2017
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