Organization
PPL MEDICAL CSP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA A PRINCIPE MD (PRESIDENT)
(787) 779-0484
Entity
Organization
Contact information
Practice address
68 CALLE SANTA CRUZ, SUITE 405, BAYAMON, PR 00961-7036
(787) 779-0484
(787) 779-3065
Mailing address
100 GRAND BOULEVARD PASEOS SUITE 112, MSC 333, SAN JUAN, PR 00926-5955
(787) 779-0484
(787) 779-3065
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
06/10/2014
Last updated
06/10/2014
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