Organization
SUVAX PEDIATRICS GROUP PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL VAZQUEZ MD (ADMINISTRATOR)
(787) 738-7474
Entity
Organization
Contact information
Practice address
BO RINCCON LOMAS CORRETERA 14 KM12.0, HOSPITAL GENERAL MENONITA OFICIANA FACULTAD, CAYEY, PR 00736
(787) 363-1001
Mailing address
23 HERACLIO MENDOZA STREET, CAYEY, PR 00736
(787) 738-7474
(787) 738-7474
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
11/08/2006
Last updated
08/22/2020
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