Provider Demographics
NPI:1952908030
Name:VAQUER, GABRIELA DEL CARMEN (RDN)
Entity Type:Individual
Prefix:
First Name:GABRIELA
Middle Name:DEL CARMEN
Last Name:VAQUER
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PMB 137
Mailing Address - Street 2:100 GRAND PASEOS BLVD STE. 112
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926
Mailing Address - Country:US
Mailing Address - Phone:787-955-5120
Mailing Address - Fax:
Practice Address - Street 1:18 J FRANCHESCHI
Practice Address - Street 2:URB PEREYO
Practice Address - City:HUMACAO
Practice Address - State:PR
Practice Address - Zip Code:00791
Practice Address - Country:US
Practice Address - Phone:787-628-2151
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-02
Last Update Date:2020-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL86104783133V00000X
PR2139133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered