# SLD OBGYN LLC

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

## Provider details

- **NPI number:** 1457184921
- **Authorized official:** SOFIA LOPEZ DIAZ MD (PRESIDENT)
- **Authorized official phone:** (787) 630-6573

## Contact information

- **Practice address:** 29 CALLE WASHINGTON, ASHFORD MEDICAL CENTER, SAN JUAN, PR 00907-1507
- **Practice address phone:** (787) 721-1541
- **Mailing address:** L59 CALLE 7, URB PRADO ALTO, GUAYNABO, PR 00966-3027
- **Mailing address phone:** (787) 630-6573

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/21/2024
- **Last updated:** 08/21/2024