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Individual
GUSTAVO ALFONSO LAMELA DOMENECH
Active
Individual
GUSTAVO ALFONSO LAMELA DOMENECH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
24112
PR
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
24112
PR
390200000X
Student in an Organized Health Care Education/Training Program
—
PR
Other
Enumeration date
10/19/2018
Last updated
11/24/2025
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