Doctor Name: | VICENTE CHAPA JUAN |
NPI Number: | 1982683819 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 8334 |
Business Practice Address: | C Ramos Antonini 4 Las Piedras, PR - 00771 |
Business Phone Number: | 7877335527 |
Business Fax Number: | 7877335527 |
Mailing Address: | Po Box 9, LAS PIEDRAS |
State: | PR |
Postal Code: | 007710009 |
Phone Number: | 7877335527 |
Fax Number: | 7877335527 |
NPI Enumeration Date: | 01/10/2006 |
NPI Last Update Date: | 10/08/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 8334 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |