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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
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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