Organization
LBA MEDICAL SERVICES INC
Active
Other names
GRUPO MEDICO SAN GERARDO
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LORENZO E BOSQUE MD (MEDICAL DIRECTOR)
(787) 760-6604
Entity
Organization
Contact information
Practice address
145 CALLE GUARAGUAO, SAN JUAN, PR 00926-7101
(787) 760-6604
(787) 292-0130
Mailing address
145 CALLE GUARAGUAO, SAN JUAN, PR 00926-7101
(787) 760-6604
(787) 292-0130
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
87071
PR
Other
Enumeration date
06/10/2005
Last updated
04/05/2013
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