Organization
LIONFISH MEDICAL CLINIC PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUIS ENRIQUE PRATS M.D. (PRESIDENT, TREASURER)
(787) 830-0211
Entity
Organization
Contact information
Practice address
52 AVE JOSE C BARBOSA, ISABELA, PR 00662
(787) 830-0211
(787) 609-6054
Mailing address
PO BOX 1092, RINCON, PR 00677-1092
(787) 830-0211
(787) 609-6054
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
14494
PR
Other
Enumeration date
06/09/2015
Last updated
06/09/2015
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