Organization
CFSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARITA J FLAZ M.D. (M.D.)
(787) 246-4176
Entity
Organization
Contact information
Practice address
CFSE CARR #3, AVE. 65 INFANTERIA INTERSECCION CARR 887, BO. SAN ANTON, CAROLINA, PR 00986-0858
(787) 757-6850
(787) 776-2252
Mailing address
PO BOX 14522, BO OBRERO STATION, SAN JUAN, PR 00916-4522
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
13147
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13147
STATE MEDICAL LICENSE NUM
PR
Enumeration date
05/29/2007
Last updated
03/07/2023
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