Individual
DR. LUIS T BOOTHBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
DE DIEGO 14 E, SUITE 103, MAYAGUEZ, PR 00680
(787) 832-4416
(787) 832-4416
Mailing address
DE DIEGO 14 E, SUITE 103, MAYAGUEZ, PR 00680
(787) 832-4416
(787) 832-4416
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
5831
PR
Other
Enumeration date
11/17/2005
Last updated
10/23/2012
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