# NEW VISION MEDICAL ADVISORY GROUP, INC.

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

## Provider details

- **NPI number:** 1699723676
- **Authorized official:** MR. JOSE JOAQUIN VARGAS (PRESIDENT)
- **Authorized official phone:** (787) 778-5311

## Contact information

- **Practice address:** AVE. BATANCES J-23 URB. HERMANAS DAVILA, BAYAMON MEDICAL MALL, BAYAMON, PR 00961-5350
- **Practice address phone:** (787) 778-5311
- **Practice address fax:** (787) 778-5302
- **Mailing address:** PO BOX 6350, BAYAMON, PR 00960-5350
- **Mailing address phone:** (787) 778-5311
- **Mailing address fax:** (787) 778-5302

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | — |
| 261Q00000X | Clinic/Center | — | PR | Yes |

## Other

- **Enumeration date:** 05/04/2006
- **Last updated:** 06/29/2010
