Organization
SAN JOSE ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIO J VAZQUEZ CRUZ MD (PRESIDENT)
(787) 677-9068
Entity
Organization
Contact information
Practice address
100 AVE LUIS MUNOZ MARIN, CAGUAS, PR 00725-6184
(787) 653-3434
Mailing address
100 AVE LUIS MUNOZ MARIN, CAGUAS, PR 00725-6184
(787) 653-3434
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
10/18/2024
Last updated
10/18/2024
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