Organization
DOCTOR A TU LADO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUIS F ROSA DIAZ MD (PRESIDENT)
(787) 460-4609
Entity
Organization
Contact information
Practice address
190 AVE LAURO PINERO, CEIBA, PR 00735-2732
(787) 885-8080
(787) 885-8081
Mailing address
PO BOX 1254, FAJARDO, PR 00738-1254
(787) 885-8080
(787) 885-8081
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
13318
PR
Other
Enumeration date
11/13/2015
Last updated
11/13/2015
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