Doctor Name: | DR. NILKA VAZQUEZ LOPEZ |
NPI Number: | 1184927469 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D |
License Number: | 18105 |
Business Practice Address: | Calle 24 Bloq. 50 #3 Urb. Santa Rosa Bayamon, PR - 009566932 |
Business Phone Number: | 7876336979 |
Business Fax Number: | |
Mailing Address: | 24 Street 50 #3, Urbanizacion Santa Rosa BAYAMON |
State: | PR |
Postal Code: | 009596815 |
Phone Number: | 7876336979 |
Fax Number: | |
NPI Enumeration Date: | 12/08/2010 |
NPI Last Update Date: | 07/12/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 18105 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |