# ADVANCING MEDICAL CLICIC

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

## Provider details

- **NPI number:** 1285058875
- **Authorized official:** DR. MIRELYS VAZQUEZ NIEVES MD (PRESIDENT)
- **Authorized official phone:** (787) 544-4777

## Contact information

- **Practice address:** 493 CARRIZALES STREET KM 0.5, HATILLO, PR 00613
- **Practice address phone:** (787) 544-4777
- **Mailing address:** 39 URBANIZATION COSTA NORTE, HATILLO, PR 00612

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 16174 | PR | Yes |

## Other

- **Enumeration date:** 02/18/2014
- **Last updated:** 02/18/2014
