# OSVALDO D BAZIL MD PA PC

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

## Provider details

- **NPI number:** 1265390058
- **Authorized official:** DR. OSVALDO D. BAZIL-MIESES MD (PRESIDENT)
- **Authorized official phone:** (915) 329-7814

## Contact information

- **Practice address:** MEDICAL CENTER PLAZA 740 AVE. EUGENIO MARIA DE HOSTOS, SUITE 314, MAYAGUEZ, PR 00682-1541
- **Practice address phone:** (939) 935-9238
- **Practice address fax:** (939) 935-9006
- **Mailing address:** URB VISTA VERDE \#6 CALLE CORAL, MAYAGUEZ, PR 00682-2508
- **Mailing address phone:** (915) 329-7814
- **Mailing address fax:** (939) 935-9006

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/12/2026
- **Last updated:** 01/12/2026