Organization
LASTMP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIANETTE M PEREZ COLON MD (PRESIDENT)
(787) 258-0614
Entity
Organization
Contact information
Practice address
1 HIMA PLAZA, SUITE 414, CAGUAS, PR 00725
(787) 258-0614
Mailing address
1 HIMA PLAZA, SUITE 414, CAGUAS, PR 00725
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
13503
PR
Other
Enumeration date
08/30/2016
Last updated
08/30/2016
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