Individual
MR. LUIS ANTONIO GRACIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
99 GUILLERMO RIEFKOHL ST., PATILLAS, PR 00723-0697
(787) 839-4320
(787) 271-0004
Mailing address
99 GUILLERMO RIEFKOHL ST., PATILLAS, PR 00723-0697
(787) 839-4320
(787) 271-0004
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
A001196
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A001196
STATE LICENSE
PR
Enumeration date
05/22/2007
Last updated
07/08/2007
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