Organization
GRUPO MEDICO ENMANUEL CSP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ESTEBAN VAZQUEZ ASTACIO MD (PRESIDENTE)
(787) 299-3803
Entity
Organization
Contact information
Practice address
CARRETERA 152 KM 8.0, BO. QUEBRADILLAS, BARRANQUITAS, PR 00794
(787) 857-0300
(787) 857-0800
Mailing address
PO BOX 489, BARRANQUITAS, PR 00794-0489
(787) 857-0300
(787) 857-0800
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
08/16/2006
Last updated
04/24/2012
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