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Individual

FAUSTO MIGUEL HERNAN LUGO MARTINEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
CARR 128 K.M 1.0, YAUCO, PR 00698
(787) 856-1000
Mailing address
PO BOX 5643, YAUCO, PR 00698-5643

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
023506
PR

Other

Enumeration date
06/01/2023
Last updated
09/12/2023
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