Organization
LS TRUST CARE HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SEBASTIAN ALEXIS BONILLA BENITEZ MD (PRESIDENT)
(787) 602-2923
Entity
Organization
Contact information
Practice address
URB. VEVE CALZADA CALLE 3A O28, FAJARDO, PR 00738
(787) 602-2923
Mailing address
PO BOX 1503, FAJARDO, PR 00738-1503
(787) 602-2923
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
08/19/2024
Last updated
08/19/2024
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