# LASAI CORPORATION

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

## Provider details

- **NPI number:** 1689871329
- **Authorized official:** DR. GERMAN R GONZALEZ M.D. (PRESIDENT)
- **Authorized official phone:** (787) 849-2548

## Contact information

- **Practice address:** PLAZA CONSTANCIA, SUITE 103, HORMIGUEROS, PR 00660
- **Practice address phone:** (787) 849-2548
- **Mailing address:** 790 CALLE ARBOLEDA, HACIENDAS CONSTANCIA, HORMIGUEROS, PR 00660-9618
- **Mailing address phone:** (787) 849-2548

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 11976 | PR | Yes |

## Other

- **Enumeration date:** 06/27/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 11976 | STATE LISCENCE | PR |
| 01 | — | 1558345231 | NPI | PR |