Organization
SAN PABLO MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL VAZQUEZ (PRESIDENT)
(787) 786-8895
Entity
Organization
Contact information
Practice address
CALLE SANTA ROSA CRUZ 68, TORRE SAN PABLO SUITE 1A, BAYAMON, PR 00961
(787) 786-8895
(787) 786-8895
Mailing address
PO BOX 610, MAYAGUEZ, PR 00681-0610
(787) 786-8895
(787) 786-8895
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/19/2007
Last updated
11/08/2007
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