Organization
LCS SURGICAL SERVICES PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUIS DANIEL CARCORZE SOTO M.D. (SOLE OWNER)
(787) 951-7074
Entity
Organization
Contact information
Practice address
15 CALLE DR BASORA N, MAYAGUEZ, PR 00680-4833
(787) 834-0101
Mailing address
PO BOX 819, MAYAGUEZ, PR 00681-0819
(787) 951-7074
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
18625
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1689807968
NPI PERSONAL
PR
01
—
18625
LICENCIA MEDICO PUERTO RICO
PR
Enumeration date
05/19/2014
Last updated
07/17/2014
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