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General NPI Number Information
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NPI Number | 1619169562
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Entity Type | Individual
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Provider Name | DAMARIS VAZQUEZ GONZALEZ MPT
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Gender | Female
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Dates
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Enumeration Date | 08/14/2007
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Last Update Date | 02/03/2026
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Provider Practice Location Address
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Address Line | BO. ANTON RUIZ CARR. 927 KM 0.6 #25
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City | HUMACAO
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State | PR
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Zip | 00791-9502
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Country | US
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Telephone | 787-242-9799
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Fax | 787-852-7616
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Provider Business Mailing Address
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Address Line | HC 3 BOX 5737
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City | HUMACAO
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State | PR
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Zip | 00791-9505
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Country | US
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Telephone | 787-852-7616
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 1100
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License Number State | PR
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