| Doctor Name: | DR. MIRELYS VAZQUEZ-NIEVES |
| NPI Number: | 1538290754 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | 16174 |
| Business Practice Address: | Carr. 453 Km 0.5 Suite 124 Bo. Carrizalez Medical & Professional Plaza Hatillo, PR - 006599998 |
| Business Phone Number: | 7875444777 |
| Business Fax Number: | 7875444777 |
| Mailing Address: | #39 Urb Costa Norte, HATILLO |
| State: | PR |
| Postal Code: | 006599998 |
| Phone Number: | 7875444777 |
| Fax Number: | 7875444777 |
| NPI Enumeration Date: | 03/08/2007 |
| NPI Last Update Date: | 08/13/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 16174 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |