# CLINICA DE OJOS MALDONADO VAZQUEZ

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

## Provider details

- **NPI number:** 1548415235
- **Authorized official:** MRS. MARINES VAZQUEZ M.D. (SECRETARY)
- **Authorized official phone:** (787) 725-5143

## Contact information

- **Practice address:** 275 CALLE CONVENTO, SANTURCE, PR 00912-3205
- **Practice address phone:** (787) 725-5143
- **Practice address fax:** (787) 977-8424
- **Mailing address:** 146 CALLE VASALLO, SAN JUAN, PR 00911-1926
- **Mailing address phone:** (787) 725-5143
- **Mailing address fax:** (787) 977-8424

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 15310 | PR | Yes |
| 207W00000X | Ophthalmology Physician | 15343 | PR | — |

## Other

- **Enumeration date:** 11/21/2008
- **Last updated:** 11/21/2008