Organization
DAJAOS MEDICAL CENTER CSP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAFAEL VAZQUEZ PEREZ MD (PRESIDENT)
(787) 730-3446
Entity
Organization
Contact information
Practice address
167 ROAD KM 11 0 BO DAJAOS, BAYAMON, PR 00956-9711
(787) 730-3446
Mailing address
RR 14 BOX 5334, BAYAMON, PR 00956-9711
(787) 730-3446
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
894CP
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06548O
CRUZ AZUL
PR
01
—
500140
MMM
PR
01
—
6320088
HUMANA
PR
01
—
82154
SSS
PR
Enumeration date
07/17/2008
Last updated
07/17/2008
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