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Organization

LARES MEDICAL GROUP

Active
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Organization

LARES MEDICAL GROUP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RODRIGUEZ BALTAZAR (DIRECTOR)
(787) 897-1444
Entity
Organization

Contact information

Practice address
CARR 111 KM 2.9, AVE. LOS PATRIOTAS, LARES, PR 00669-1427
(787) 897-1444
(787) 897-4952
Mailing address
PO BOX 1427, LARES, PR 00669-1427
(787) 897-1444
(787) 897-4952

Taxonomy

Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
PR

Other

Enumeration date
12/27/2006
Last updated
07/21/2022
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