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Organization

PHYSICIAN HEALTHCARE ADMINISTRATION LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LIZBETTE LUGO CSP (OWNER)
(787) 817-3030
Entity
Organization

Contact information

Practice address
CARR 129 KM 0.1, AVE SAN LUIS, ARECIBO, PR 00612
(787) 817-3030
Mailing address
PO BOX 140549, ARECIBO, PR 00614-0549
(787) 817-3030

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
18074
PR

Other

Enumeration date
05/19/2015
Last updated
05/21/2015
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