Individual
MR. NELSON STUART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
58 CALLE PALMER, TOA ALTA, PR 00953-2453
(787) 870-2467
(787) 870-0376
Mailing address
58 CALLE PALMER, TOA ALTA, PR 00953-2453
(787) 870-2467
(939) 337-1771
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
1618
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30977
MEDICARE PROVIDER
PR
Enumeration date
05/28/2008
Last updated
07/08/2019
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