# LATIN CLINICAL TRIAL CENTER

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

## Provider details

- **NPI number:** 1366297582
- **Authorized official:** MRS. ANMARI FERRER MBA (GENERAL OPERATIONS MANAGER)
- **Authorized official phone:** (939) 599-3317

## Contact information

- **Practice address:** 1801 AVE PONCE DE LEON STE 205205A, SAN JUAN, PR 00909-1900
- **Practice address phone:** (787) 209-4914
- **Mailing address:** PMB 487, PO BOX 70344, SAN JUAN, PR 00936

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | — | NULL | — |
| 207QA0505X | Adult Medicine Physician | — | — | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 04/22/2024
- **Last updated:** 04/22/2024