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Organization

UROLOGIST LLC

Active
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Organization

UROLOGIST LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. HECTOR BLAZQUEZ M.D.,CMO (CMO)
(787) 652-4268
Entity
Organization

Contact information

Practice address
14 CALLE DE DIEGO ESTE, MAYAGUEZ, PR 00680
(787) 652-4268
Mailing address
PO BOX 1954, MAYAGUEZ, PR 00681-1954
(787) 652-4268

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
NULL
208800000X
Urology Physician
Primary
—
—

Other

Enumeration date
01/21/2015
Last updated
01/21/2015
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