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Organization

LUCET AT HOME OF PUERTO RICO PSC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EVANS J ORTIZ-SANTANA MD (PRESIDENT/CEO)
(787) 967-3195
Entity
Organization

Contact information

Practice address
450 AVE DE LA CONSTITUCION STE 200, SAN JUAN, PR 00901-2317
(787) 967-3195
Mailing address
6100 SPRINT PKWY STE 200, OVERLAND PARK, KS 66211-1196

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary

Other

Enumeration date
11/21/2025
Last updated
11/21/2025
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