# HAZ LLC

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

## Provider details

- **NPI number:** 1619792033
- **Authorized official:** MARY QUILES-SANTANA MD (PRESIDENT)
- **Authorized official phone:** (787) 425-7803

## Contact information

- **Practice address:** 900 CARR 696, DORADO, PR 00646-5718
- **Practice address phone:** (787) 625-5050
- **Mailing address:** CAMINO DEL MAR, 8034 PLAZA CARIBE, TOA BAJA, PR 00949-4380
- **Mailing address phone:** (787) 425-7803

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/20/2024
- **Last updated:** 11/20/2024