Individual provider · Type 1 NPI
Jose Manuel Gomez Vazquez, MD
General Practice Physician · Santurce, PR
NPI number
1467916783
Active
Practice location
Santurce Medical Mall, 1801 Ave Ponce De Leon Suite 101 B
Santurce, PR 00921
Fax (787) 728-6093
Mailing address
PO Box 367083
San Juan, PR 00936-7083
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | 21210 (PR) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
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About NPI 1467916783
Jose Manuel Gomez Vazquez, MD's National Provider Identifier is 1467916783, issued on Jan 31, 2019. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Santurce, PR. The record was last updated on Jan 31, 2019.