# CARIBBEAN VASCULAR SERVICES PC

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

## Provider details

- **NPI number:** 1467779512
- **Authorized official:** DR. JORGE L MARTINEZ TRABAL (PRESIDENT)
- **Authorized official phone:** (787) 908-7645

## Contact information

- **Practice address:** 909 AVE TITO CASTRO, TORRE MEDICA SAN LUCAS STE 602, PONCE, PR 00716-4728
- **Practice address phone:** (787) 651-1429
- **Practice address fax:** (787) 651-1430
- **Mailing address:** 604 CALLE FELIPE, MANSION REAL, COTO LAUREL, PR 00780-2640
- **Mailing address phone:** (787) 908-7645

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | 14241 | PR | Yes |

## Other

- **Enumeration date:** 04/29/2010
- **Last updated:** 08/15/2014
