Organization
LGF LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORENZO GONZALEZ MD (CHILD AND ADOLESCENTS PSYCHIATRIST)
(787) 641-0773
Entity
Organization
Contact information
Practice address
1357 AVE ASHFORD, PMB 282, SAN JUAN, PR 00907-1400
(787) 641-0773
Mailing address
1357 AVE ASHFORD, PMB 282, SAN JUAN, PR 00907-1400
(787) 641-0773
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
10984
PR
Other
Enumeration date
09/29/2015
Last updated
09/29/2015
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