Organization
SAN LAZARGERD MEDICAL CENTER, CSP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERALDO GONZALEZ-GONZALEZ M.D. (PRESIDENT)
(787) 897-0353
Entity
Organization
Contact information
Practice address
CARR 129 KM 27.3, BO PUEBLO, LARES, PR 00669
(787) 897-0353
Mailing address
PO BOX 428, LARES, PR 00669-0428
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
04/23/2012
Last updated
04/23/2012
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