Destination:
Guayaquil, Ecuador
Home ::
2006 schedule
~~DOWNLOAD
MEMBERSHIP FORMS
HERE~~
Destination:
Guayaquil,
Ecuador
Specialty:
OMS
Team Leader:
Dr. Shahid
Aziz |
 |
|
Dates:
February
24 - Mar 4,
2006 |
|
Sponsor:
El
Cielo Para
Los Ninos de
Ecuador,
Zorayda
Figueroa,
Exec. Dir.
Km. 1.8 de
la Av.
Carlos Julio
Arosemena
P.O. Box
16458
Guayaquil,
Ecuador SA
phone: 593
42
200290
/
jornadas_medicas@yahoo.com
Hospital:
Hospital del
Ninos in
Guayaquil
phone: 593
445 2700
|
|
Please
do not
contact host
or hospital
unless
emergency.
Leave this
information
with
your
family but
please
advise them
that these
facilities
are not a
messenger
service.
thank you. |
|
Site Contact
Info.:
Contact
Zorayda,
Olga or
Carmen at
Fundacion
Cielo
011-593-4-2-203762
Hotel Info:
Oro
Verde
phone: 593
4232 7999
New
Update:
2/23/06 -Per
Zorayda - It
is hot
-
bring swim
suits /
loose
clothing!!
See below
for flight
information |
Click on any
Team member
name in blue
to send an
e-mail |
|
Administrative
Contact:
Lynn Speer,
RN
|
Email entire
team |
|
Participants: |
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|
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|
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|
Surgery |
Curriculum
Vitae |
License
to
Practice
Med.
|
Clinical
Specialty |
Health
Form
|
Signed
Release |
Passport Info |
Credit
Card
Auth |
2006
Dues |
Airfare |
Other
Fee |
|
Shahid
Aziz,
DMD,
MD,
Team
Leader
|
in
|
in
|
in
|
in
|
in
|
in
|
in
|
pd
12/05
|
Pd
|
n/a
|
|
Edward
Kozlovsky,
DDS
|
in
|
in
|
in
|
in
|
in
|
in
|
in
|
pd
12/05
|
Pd
|
n/a
|
|
Susan
Lee
(Res)
|
in
|
in
|
in
|
in
|
in
|
in
|
in
|
pd
12/05
|
Pd
|
n/a
|
|
Vincent
Ziccardi,
DDS,
MD
|
in
|
in
|
in
|
in
|
in
|
in
|
in
|
pd
1/06
|
Pd
|
n/a
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Pediatrics |
Curriculum
Vitae |
License
to
Practice
Med.
|
Clinical
Specialty |
Health
Form
|
Signed
Release |
Passport Info |
Credit
Card
Auth |
2006
Dues |
Airfare |
Other
Fee |
|
In
Country
Physician
|
NA
|
NA
|
NA
|
NA
|
NA
|
NA
|
NA
|
NA
|
NA
|
n/a
|
|
Anesthesiology |
Curriculum
Vitae |
License
to
Practice
Med.
|
Clinical
Specialty |
Health
Form
|
Signed
Release |
Passport Info |
Credit
Card
Auth |
2006
Dues |
Airfare |
Other
Fee |
|
Kevin
Anannab
|
in
|
NA
|
in
|
in
|
in
|
in
|
in
|
pd
2/06
|
Pd
|
n/a
|
|
Tom
Schieble,
MD
|
in
|
in
|
in
|
in
|
in
|
in
|
in
|
pd
2/06
|
Pd
|
n/a
|
|
Ricardo
Verdiner
|
in
|
NA
|
in
|
in
|
in
|
in
|
in
|
pd
2/06
|
Pd
|
n/a
|
|
Maria
Diaz
Vega
|
in
|
NA
|
in
|
in
|
in
|
in
|
in
|
cc
|
cc
|
n/a
|
|
Nursing/OR Techs/Other |
Curriculum
Vitae |
License
to
Practice
Med.
|
Clinical
Specialty |
Health
Form
|
Signed
Release |
Passport Info |
Credit
Card
Auth |
2006
Dues |
Airfare |
Other
Fee |
|
Fran
Devonshire,
RN
|
in
|
in
|
in
|
in
|
in
|
in
|
in
|
pd
11/05
|
cc
|
n/a
|
|
Amanda
Muller,
Dental
assist
|
in
|
in
|
in
|
in
|
in
|
in
|
in
|
pd
1/06
|
Pd
|
n/a
|
|
Lynn
Speer,
RN
|
in
|
in
|
in
|
in
|
in
|
in
|
in
|
pd
12/05
|
Pd
|
n/a
|
|
Jessica
Hagerman
|
NA
|
NA
|
NA
|
in
|
in
|
in
|
in
|
pd
1/06
|
Pd
|
n/a
|
|
Daniel
Hagerman
|
NA
|
NA
|
NA
|
in
|
in
|
in
|
in
|
pd
1/06
|
Pd
|
n/a
|
|
Nicea
D'Annunzio
|
NA
|
NA
|
in
|
in
|
in
|
in
|
in
|
pd
1/06
|
Pd
|
n/a
|
|
Brooke
Cammeyer
|
NA
|
NA
|
NA
|
in
|
in
|
in
|
in
|
pd
1/06
|
Pd
|
n/a
|
|
Elda
Fisher
|
NA
|
NA
|
NA
|
in
|
in
|
in
|
in
|
pd
1/06
|
Pd
|
n/a
|
|
Administration |
Curriculum
Vitae |
License
to
Practice
Med.
|
Clinical
Specialty |
Health
Form
|
Signed
Release |
Passport Info |
Credit
Card
Auth |
2006
Dues |
Airfare |
Other
Fee |
|
Lynn
Speer
-
see
above
|
|
|
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Flight
Information:
Leave Friday -
Feb. 24 Cont 707
from Newark 11:30
PM Arrive
Guayaquil
Saturday - Feb 25 at
6:00 AM
Return : Saturday - March 4 Cont
708 from Guayaquil
8:45 AM Arrive
Newark
3:30 PM
Record Locator #VHBEXM
Deposit to hold 14
seats Oct 06.
Fare $667.70
Hagermans Return : March
11 Cont. 654
from Quito 7:45
AM / Arrive
Houston 12:04 PM /
Leave
Leave Houston Cont.
Flt 532 1:25 PM
/ Arrive 5:59PM
LGA
Record locator
#: UBRS8K/ $8.00 pp.
Travel
Agent: (Pro Travel
International)
Ann St.
Hilaire 212-755-4550
Note: Ecuador uses
US Dollars
Fax Forms to HTC
at 860-350-6634
Mail Forms to HTC at
P.O. Box 129, New
Milford, CT 06776
E-mail to mlaw@htcne.org |
