Individual
LUKE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
NUM 80 CALLE 3 SUR, GUAYAMA, PR 00784
(787) 866-1212
(787) 866-3322
Mailing address
PO BOX 8071, CAGUAS, PR 00726-8071
(646) 642-8021
(787) 866-3322
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
15593
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15593
PHYSICIAN LICENSE
PR
Enumeration date
04/16/2014
Last updated
05/19/2015
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