Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 14702 | PR |
N | 207VG0400X | Gynecologist | 14702 | PR |
N | 207VX0000X | Obstetrician | 14702 | PR |
NPI | 1245431634 |
---|---|
Provider Name | Carlos Miguel Marrero Vazquez |
First Address | San Juan, PR 00926-6023 |
Second Address | San Juan, PR 00926 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/05/2007 |
Last Update Date | 20/09/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
25584 | (02) |