# LESSER ANTILLES NEPHROLOGY

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

## Provider details

- **NPI number:** 1538475017
- **Authorized official:** DR. RAPHAEL G LOUTOBY MD (CEO)
- **Authorized official phone:** (340) 642-4550

## Contact information

- **Practice address:** 184 RUBY PLAZA, CHRISTIANSTED, VI 00820-0000
- **Practice address phone:** (340) 642-4550
- **Mailing address:** 6002 ESTATE RUBY DIAMOND SUITE 3, PMB 163, CHRISTIANSTED, VI 00820-0000
- **Mailing address phone:** (340) 642-4550

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 1620 | VI | Yes |

## Other

- **Enumeration date:** 08/23/2010
- **Last updated:** 08/23/2010