Organization
PUERTO RICO NEUROSURGERY & SPINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JORGE J LASTRA MD (PRESIDENT)
(787) 528-1028
Entity
Organization
Contact information
Practice address
668 CALLE HERNANDEZ CARRION URB ATENAS, MANATI MEDICAL CENTER SUITE 201, MANATI, PR 00674
(787) 621-3737
(787) 621-3251
Mailing address
PMB 049, 425 CARR 693 STE 1, DORADO, PR 00646
(787) 621-3737
(787) 621-3251
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
13229
PR
Other
Enumeration date
10/07/2014
Last updated
12/17/2025
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