# SANGLAN PEDIATRIC SURGERY LLC

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

## Provider details

- **NPI number:** 1780034421
- **Authorized official:** CARLOS FELIPE SANCHEZ GLANVILLE MD (PRESIDENT)
- **Authorized official phone:** (787) 299-0987

## Contact information

- **Practice address:** 735 AVE PONCE DE LEON, CLINICAS PEDIATRICAS HOSPITAL AUXILIO MUTUO, SAN JUAN, PR 00917-0000
- **Practice address phone:** (787) 758-2000
- **Mailing address:** 100 CARR 842, APT 011, SAN JUAN, PR 00926-9624
- **Mailing address phone:** (787) 299-0987

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0120X | Pediatric Surgery Physician | 18284 | PR | Yes |

## Other

- **Enumeration date:** 06/14/2016
- **Last updated:** 10/11/2016