# LMV GASTROENTEROLOGY PSC

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

## Provider details

- **NPI number:** 1386064558
- **Authorized official:** DR. LILLIANA MORALES-VASQUEZ M.D. (PHYSICIAN)
- **Authorized official phone:** (787) 525-6075

## Contact information

- **Practice address:** 1449 CALLE AMERICO SALAS STE 103, SAN JUAN, PR 00909-2104
- **Practice address phone:** (787) 525-6075
- **Mailing address:** PO BOX 16598, SAN JUAN, PR 00908-6598
- **Mailing address phone:** (787) 525-6075

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | 17493 | PR | Yes |

## Other

- **Enumeration date:** 04/25/2014
- **Last updated:** 04/27/2014