Organization
CLINICA OFTALMICA DE LA MONTANA, C.S.P.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUIS RAUL SANTIAGO-PAGAN M.D. (PRESIDENT)
(787) 991-1325
Entity
Organization
Contact information
Practice address
56 CALLE PEDRO ROSARIO, AIBONITO, PR 00705-3238
(787) 991-1325
(787) 991-2305
Mailing address
56 CALLE PEDRO ROSARIO, PO BOX 455, AIBONITO, PR 00705-3238
(787) 991-1325
(787) 991-2305
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
12782
PR
Other
Enumeration date
02/28/2006
Last updated
12/17/2008
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