Organization
LJT COLORECTAL PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUIS J TOUS (PRESIDENT)
(787) 724-9595
Entity
Organization
Contact information
Practice address
1452 AVENUE ASHFORD, EDIFICIO ADALIGIA SUITE 1, SAN JUAN, PR 00907
(787) 724-9595
Mailing address
PO BOX 2528, GUAYNABO, PR 00970-2528
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
17606
PR
Other
Enumeration date
10/16/2014
Last updated
09/10/2015
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