Doctor Name: | DR. CARMEN VANESSA OQUENDO |
NPI Number: | 1972531911 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 15112 |
Business Practice Address: | 2 Calle Ramon Gomez S Urb. Pereyo Humacao, PR - 007913925 |
Business Phone Number: | 7875857095 |
Business Fax Number: | |
Mailing Address: | Paseo Del Rio #500, Blvd Del Rio Apt 5201 HUMACAO |
State: | PR |
Postal Code: | 00791 |
Phone Number: | 7878524343 |
Fax Number: | 7872856559 |
NPI Enumeration Date: | 06/29/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 15112 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |