# CEDENO LACLAUSTRA MD PSC

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

## Provider details

- **NPI number:** 1730566894
- **Authorized official:** MR. RICARDO ZAPATA MORALES RN (ENCAGADO CREDENCIALES Y DOCUMENTOS)
- **Authorized official phone:** (787) 372-5251

## Contact information

- **Practice address:** CARR 311 KM 6.2, B.O CERILLOS URB LAS VISTOS, CABO ROJO, PR 00623
- **Practice address phone:** (787) 237-1613
- **Practice address fax:** (787) 652-1661
- **Mailing address:** P.O BOX 5103-216, CABO ROJO, PR 00623-5103
- **Mailing address phone:** (787) 237-1613
- **Mailing address fax:** (787) 652-1661

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/28/2015
- **Last updated:** 06/17/2015