Active NPIIndividual providerSole proprietor

Dr. Vanessa Etienne, MD

Student in an Organized Health Care Education/Training Program in Bayamon, Puerto Rico

NPI Number1396627824
Practice location
Carr. Num 2, Km. 11.4, Bayamon, PR 00959
Fax
—
Last updated
July 15, 2026

Vanessa Etienne is a Student in an Organized Health Care Education/Training Program based in Bayamon, PR. Vanessa Etienne practices in Bayamon, PR and has the professional credentials of MD. The NPI Number for Vanessa Etienne is 1396627824 and holds a License No. 38186-R (PR). The current practice location address for Vanessa Etienne is Carr. Num 2, Km. 11.4, Bayamon, PR 00959 and can be reached out via phone at 787-474-8282.

Provider Profile Details

NPI Number
1396627824
Provider Name
Vanessa Etienne
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
Carr. Num 2, Km. 11.4, Bayamon, PR 00959
Phone Number
787-474-8282
Sole Proprietor
Yes
Provider Enumeration Date
July 24, 2025
Last Update Date
July 15, 2026
Certification Date
July 15, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
Carr. Num 2, Km. 11.4
Bayamon, PR 00959
Zip
00959
Phone Number
787-474-8282
Bayamon, PR 00959Get directions →

Provider Business Mailing Address Details

Address
N8 Calle 12
Bayamon, PR 00961-3824
City
Bayamon
State
PR
Zip
00961-3824
Phone Number
229-395-5645

License Information

License Number
38186-R
License State
PR

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Vanessa Etienne, MD?

The NPI number of Dr. Vanessa Etienne, MD is 1396627824. It was assigned on July 24, 2025 and is currently active in the NPPES registry.

What is the specialty of Dr. Vanessa Etienne, MD?

Dr. Vanessa Etienne, MD is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X), licensed in PR under license number 38186-R.

Where does Dr. Vanessa Etienne, MD practice?

The practice location is Carr. Num 2, Km. 11.4, Bayamon, PR 00959. The office can be reached at 787-474-8282 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1396627824 directly on the NPPES registry website.

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