Organization
ADVANCING MEDICAL CLICIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIRELYS VAZQUEZ NIEVES MD (PRESIDENT)
(787) 544-4777
Entity
Organization
Contact information
Practice address
493 CARRIZALES STREET KM 0.5, HATILLO, PR 00613
(787) 544-4777
Mailing address
39 URBANIZATION COSTA NORTE, HATILLO, PR 00612
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
16174
PR
Other
Enumeration date
02/18/2014
Last updated
02/18/2014
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