Organization
L A PRIMARY CARE & SPECIALTY GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAMON LUIS LOPEZ ACOSTA M. D. (PRESIDENT)
(787) 226-6359
Entity
Organization
Contact information
Practice address
PORTALES DE ALTAMESA, EDIFICIO #16, APT 1606, SAN JUAN, PR 00921-4628
(787) 226-6359
Mailing address
PO BOX 11395, SAN JUAN, PR 00922-1395
(787) 226-6359
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
09645
PR
Other
Enumeration date
03/16/2012
Last updated
03/16/2012
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