Organization
CLINICA MEDICINA PREVENTIVA C.P.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOURDES M VAZQUEZ OTERO MD (PRESIDENT)
(787) 728-6093
Entity
Organization
Contact information
Practice address
1801 AVE PONCE DE LEON, SANTURCE MEDICAL MALL SUITE 101 B, SAN JUAN, PR 00909
(787) 728-6093
(787) 230-0988
Mailing address
PO BOX 367083, SAN JUAN, PR 00936-7083
(787) 728-6093
(787) 230-0988
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
03/29/2019
Last updated
03/29/2019
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