# DRA. DAISY VAZQUEZ DUBEAU OB-GYN CSP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235312505
- **Authorized official:** GRISELLE MONTALVO (MANAGER)
- **Authorized official phone:** (787) 306-5800

## Contact information

- **Practice address:** 576 CALLE CESAR GONZALEZ STE 401, DORAL BANK CENTER, SAN JUAN, PR 00918-3769
- **Practice address phone:** (787) 766-1920
- **Mailing address:** PO BOX 195567, SAN JUAN, PR 00919-5567
- **Mailing address phone:** (787) 766-1920

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 10973 | PR | Yes |

## Other

- **Enumeration date:** 12/10/2007
- **Last updated:** 12/10/2007