Individual
IAN MARK LLAURADOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
CALLE SERGIO CUEVAS BUSTAMANTE, SAN JUAN, PR 00927
(787) 758-8383
Mailing address
FM4 CALLE JOSE PH HERNANDEZ, TOA BAJA, PR 00949-2817
(787) 510-7701
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
23975
PR
Other
Enumeration date
05/25/2022
Last updated
07/17/2024
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