Organization
DIAGNOSTIC IMAGING AT DCH BAYAMON, PSC
Active
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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