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Organization
SAN LAZARGERD MEDICAL CENTER, CSP
Active
Organization
SAN LAZARGERD MEDICAL CENTER, CSP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERALDO GONZALEZ-GONZALEZ M.D. (PRESIDENT)
(787) 897-0353
Entity
Organization
Contact information
Practice address
CARR 129 KM 27.3, LARES, PR 00669
(787) 897-0353
(787) 897-3979
Mailing address
PO BOX 428, LARES, PR 00669-0428
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
—
NULL
207RC0000X
Cardiovascular Disease Physician
—
—
2085B0100X
Body Imaging Physician
—
NULL
2085B0100X
Body Imaging Physician
—
—
208D00000X
General Practice Physician
—
NULL
208D00000X
General Practice Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
01/30/2012
Last updated
04/18/2012
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