Organization
UROLOGIST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HECTOR BLAZQUEZ M.D.,CMO (CMO)
(787) 652-4268
Entity
Organization
Contact information
Practice address
14 CALLE DE DIEGO ESTE, MAYAGUEZ, PR 00680
(787) 652-4268
Mailing address
PO BOX 1954, MAYAGUEZ, PR 00681-1954
(787) 652-4268
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
01/21/2015
Last updated
01/21/2015
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