Individual
JUSTIN SOLIS LATALLADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
99 CALLE GUILLERMO RIEFKHOL, PATILLAS, PR 00723
(787) 839-4320
(787) 271-0004
Mailing address
PO BOX 697, PATILLAS, PR 00723-0697
(787) 839-4320
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
092270
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00232495
REGISTRY NUMBER
PR
Enumeration date
09/21/2020
Last updated
09/21/2020
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