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Individual

ADRIAN COLON LARACUENTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
66 CALLE GEORGETTI, SAN JUAN, PR 00925-3607
(787) 765-4208
Mailing address
66 CALLE GEORGETTI, SAN JUAN, PR 00925-3607

Taxonomy

Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
5016
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0028009
SSS
PR
Enumeration date
09/16/2006
Last updated
07/08/2007
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