Organization
DIAGNOSTIC IMAGING AT DCH BAYAMON, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORRAINE VAZQUEZ M.D. (RADIOLOGIST)
(787) 621-3322
Entity
Organization
Contact information
Practice address
CARR #2 KM 47.7, BARRIO COTTO NORTE, MANATI, PR 00674
(787) 621-3322
(787) 621-3311
Mailing address
PO BOX 30532, MANATI, PR 00674-8513
(787) 621-3322
(787) 621-3311
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
7466
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7466
MEDICARE
PR
Enumeration date
10/07/2008
Last updated
10/07/2008
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