# ADVANCE OB/GYN, P.S.C.

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

## Provider details

- **NPI number:** 1407955941
- **Authorized official:** EFRAIN VAZQUEZ LUNA (PRESIDENTE)
- **Authorized official phone:** (787) 727-4333

## Contact information

- **Practice address:** PAVIA MEDICAL PLAZA 611, M PAVIA FERNANDEZ SUITE 205, SANTURCE, PR 00909
- **Practice address phone:** (787) 743-3333
- **Practice address fax:** (787) 268-7077
- **Mailing address:** PO BOX 19869, SAN JUAN, PR 00910-1869
- **Mailing address phone:** (787) 727-4333
- **Mailing address fax:** (787) 268-7077

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/21/2006
- **Last updated:** 10/22/2013