Individual
LUIS MANUEL PEREZ PORTOCARRERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MS
Contact information
Practice address
388 ZONA IND REPARADA 2, PONCE, PR 00716-2347
(787) 840-2575
Mailing address
917 AVE TITO CASTRO, PONCE, PR 00716-4717
(787) 844-2080
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
36784
PR
390200000X
Student in an Organized Health Care Education/Training Program
—
PR
Other
Enumeration date
07/29/2021
Last updated
12/03/2023
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