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Individual

RALPH C CONAWAY LANUZA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
AVE ROOSEVELT # 400 CLINICA LAS AMERICA SUITE 203, HATO REY, PR 00918-0000
(787) 763-9468
(787) 767-5003
Mailing address
PO BOX 362309, SAN JUAN, PR 00936-2309
(787) 763-9468
(787) 767-5003

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4357
PR

Other

Enumeration date
06/21/2005
Last updated
02/08/2017
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