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Organization

ADVANCE OB/GYN, P.S.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EFRAIN VAZQUEZ LUNA (PRESIDENTE)
(787) 727-4333
Entity
Organization

Contact information

Practice address
PAVIA MEDICAL PLAZA 611, M PAVIA FERNANDEZ SUITE 205, SANTURCE, PR 00909
(787) 743-3333
(787) 268-7077
Mailing address
PO BOX 19869, SAN JUAN, PR 00910-1869
(787) 727-4333
(787) 268-7077

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary

Other

Enumeration date
09/21/2006
Last updated
10/22/2013
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