Doctor Name: | MILADY IRIZARRY VAZQUEZ |
NPI Number: | 1528285954 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D |
License Number: | 16286 |
Business Practice Address: | 604 Calle Munoz Rivera Penuelas, PR - 006241709 |
Business Phone Number: | 7878363409 |
Business Fax Number: | |
Mailing Address: | Hc 4 Box 11926, YAUCO |
State: | PR |
Postal Code: | 006989608 |
Phone Number: | 7878565115 |
Fax Number: | |
NPI Enumeration Date: | 04/19/2007 |
NPI Last Update Date: | 04/30/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 16286 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |