Organization
CENTRO DERMATOLOGICO SAN PABLO, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUIS J. ORTIZ-ESPINOSA M.D., FAAD (MEDICAL DIRECTOR)
(787) 740-0564
Entity
Organization
Contact information
Practice address
CALLE SANTA CRUZ #68 TORRE SAN PABLO, SUITE 306, BAYAMON, PR 00959
(787) 798-1200
(787) 740-1200
Mailing address
AVENIDA 90, PMB SUITE 126, BAYAMON, PR 00961
(787) 798-1200
(787) 740-1200
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
01/11/2006
Last updated
09/16/2010
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