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Individual

DR. RAFAEL LASTRA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
TORRE AUXILIO MUTUO PONCE DE LEON AVE 735, SUITE 516, SAN JUAN, PR 00917
(787) 764-6403
(787) 756-8926
Mailing address
138 AVE WINSTON CHURCHILL, PMB 149, SAN JUAN, PR 00926-6023

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
9566
PR

Other

Enumeration date
07/07/2005
Last updated
07/14/2008
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