Doctor Name: | PALOMA VAZQUEZ-DAVILA |
NPI Number: | 1669602793 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 17657 |
Business Practice Address: | Calle Tetuan # 4 San German, PR - 00683 |
Business Phone Number: | 7878925730 |
Business Fax Number: | |
Mailing Address: | Po Box 3200, GUAYAMA |
State: | PR |
Postal Code: | 007853200 |
Phone Number: | 7875977662 |
Fax Number: | |
NPI Enumeration Date: | 07/23/2009 |
NPI Last Update Date: | 10/23/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 17657 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |