Organization · Type 2 NPI

Clinica Cirugia Ambulatoria Dr. Luis A. Vazquez, Inc

Ambulatory Surgical Clinic/Center · Mayaguez, PR

NPI number 1801967815 Active · reactivated Jun 22, 2020

Practice location

Calle Peral Esq De Diego, Edificio La Palma Piso 6
Mayaguez, PR 00680

Call (787) 833-4400 Map

Fax (787) 265-6621

Mailing address

PO Box 3748
Mayaguez, PR 00681-3748

Specialties and licenses

Taxonomy	Code	License
Ambulatory Surgical Clinic/Center Primary	261QA1903X	87 (PR)
Clinical Medical Laboratory	291U00000X	745 (PR)

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NPI record

NPI: 1801967815
Entity type: Organization (Type 2)
Issued: Nov 13, 2006
Last updated: Jun 22, 2020
Status: Active

Other names

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Clinica de Cirugia Ambulatoria de PR · other name
Clinica de Cirugia Ambulatoria de PR · other name

Authorized official

Mr. Jesus Nieves Rosaio, MSHA MBA
Administrator
(787) 833-4400

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1801967815

Clinica Cirugia Ambulatoria Dr. Luis A. Vazquez, Inc's National Provider Identifier is 1801967815, issued on Nov 13, 2006. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Mayaguez, PR. The record was last updated on Jun 22, 2020.