Organization
PLASTIC SURGERY & LASER CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANCISCO J PEREZ RIVERA M.D. (PRESIDENT)
(787) 961-4023
Entity
Organization
Contact information
Practice address
A18 AVE DEGETAU, URB BONNEVILLE TERRACE, CAGUAS, PR 00725-5836
(787) 961-4023
(787) 961-4026
Mailing address
PO BOX 7377, CAGUAS, PR 00726-7377
(787) 961-4023
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
7149
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7149
STATE LICENSE
PR
Enumeration date
03/04/2014
Last updated
03/04/2014
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