# SAN LAZARGERD MEDICAL CENTER, CSP

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

## Provider details

- **NPI number:** 1487956850
- **Authorized official:** DR. GERARDO GONZALEZ M.D (PRESIDENT)
- **Authorized official phone:** (787) 897-3979

## Contact information

- **Practice address:** CARR. 129 KM 27.3, CARR. 129 KM 27.3, LARES, PR 00669
- **Practice address phone:** (787) 897-3979
- **Mailing address:** BO. PUEBLO CARR. 129 KM 27.3, LARES, PR 00669
- **Mailing address phone:** (787) 897-3979

## Taxonomy

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

## Other

- **Enumeration date:** 11/17/2010
- **Last updated:** 11/17/2010