Individual
LELLANES JUSTIZ HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
396 CALLE DR LUIS F SALA URB INDUSTRIAL REPARADA, PONCE, PR 00716
(787) 840-2575
Mailing address
396 CALLE DR LUIS SALA URB INDUSTRIAL REPARADA, PONCE, PR 00716
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
000989
PR
Other
Enumeration date
07/29/2024
Last updated
07/29/2024
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