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General NPI Number Information
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NPI Number | 1669562112
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Entity Type | Organization
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Legal Business Name | CENTRO-GINECO OBSTETRICO DR LUIS E. VAZQUEZ ZAYAS C.S.P.
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Dates
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Enumeration Date | 10/13/2006
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Last Update Date | 03/28/2017
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Provider Practice Location Address
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Address Line | EDIF. LORENZO VIZCARRONDO C-1, CALLE IGNACIO ARZUAGA ESQ. MUNOZ RIVERA
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City | CAROLINA
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State | PR
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Zip | 00985
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Country | US
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Telephone | 787-752-1490
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Fax | 787-620-1152
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Provider Business Mailing Address
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Address Line | PO BOX 3177
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City | CAROLINA
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State | PR
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Zip | 00984-3177
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Country | US
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Telephone | 787-620-1150
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Fax | 787-620-1152
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Authorized Official
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Title or Position | PRESIDENTE
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Name | DR. DR. LUIS E. E VAZQUEZ ZAYAS
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Credential | M.D.
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Telephone | 787-752-1490
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VX0000X
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Taxonomy Name | Obstetrics Physician
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License Number | 5859
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License Number State | PR
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