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NPI Code Detail

MEDICARE: GOENAGA Y VAZQUEZ LLC

MEDICARE: GOENAGA Y VAZQUEZ LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207N00000XDermatology Physician

General Provider Information

NPI Number : 1851234819
Entity Type Code : Organization
Provider Name (Legal Business Name) : GOENAGA Y VAZQUEZ LLC
Provider Business Mailing Address
First Line : PO BOX 4055
Second Line :
City : PONCE
State : PR
Zip : 00733
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2225 PONCE BYPASS STE 403
Second Line :
City : PONCE
State : PR
Zip : 00717
Country : US
Telephone Number : 787-259-3391
Fax Number :
Authorized Official
Title or Position : PRESIDENT/OWNER
Name : DR. YAMILA GOENAGA VAZQUEZ
Credential : MD
Telephone Number : 787-564-5380
Provider Enumeration Date : 04/13/2026
Last Update Date : 04/13/2026

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Directions to “GOENAGA Y VAZQUEZ LLC ” Practice Location

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