Individual
MRS. MIRIAM D VAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
CASIA ST 10, VHA, SAN JUAN, PR 00918-5000
(787) 641-7582
Mailing address
ESTANCIAS DEL BLVD, BOX 128, SAN JUAN, PR 00926-9570
(787) 602-5119
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1009
PR
Other
Enumeration date
08/20/2007
Last updated
01/13/2009
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