# LARES MEDICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134284425
- **Authorized official:** DR. RODRIGUEZ BALTAZAR (DIRECTOR)
- **Authorized official phone:** (787) 897-1444

## Contact information

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

## Taxonomy

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

## Other

- **Enumeration date:** 12/27/2006
- **Last updated:** 07/21/2022