Individual
IAN LUIS CUMMINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
917 AVE TITO CASTRO, PONCE, PR 00716-4717
(787) 844-2080
Mailing address
3417 PASEO VERSATIL, PONCE, PR 00716-4824
(787) 934-0996
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
36360
PR
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
10/11/2021
Last updated
09/07/2023
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