Most Relevant Information
Provider Data
| NPI Number: | 1003288143 |
| Provider Name: | YADIRA DOMINGUEZ VAZQUEZ M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 208D00000X |
| Specialty: | General Practice |
| License Number: | 19208 |
Most Important Dates
| Enumeration Date: | 10/28/2015 |
| Last Updated: | 10/28/2015 |
Provider Practice Location
A14 CALLE 1
URB. REXVILLE
BAYAMON
PR
00957
Practice Location Phone/Fax
| Phone: | 7872397575 |
| Fax: |
Provider Mailing Location
A14 CALLE 1
URB. REXVILLE
BAYAMON
PR
00957
Provider Mailing Phone/Fax
| Phone: | 7872397575 |
| Fax: |