| Doctor Name: | GISELA RIVERA VAZQUEZ |
| NPI Number: | 1942254610 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | #16193 |
| Business Practice Address: | Hatillo Cdt Csp #55 Calle Fernando Velazquez Esquina Roosevelt Hatillo, PR - 00659 |
| Business Phone Number: | 7878209181 |
| Business Fax Number: | 7878209181 |
| Mailing Address: | Los Llano Calle 7 D27, Santana AREEIBO |
| State: | PR |
| Postal Code: | 00612 |
| Phone Number: | 7878817544 |
| Fax Number: | |
| NPI Enumeration Date: | 05/19/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | #16193 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |