Individual
DR. LUIS ANTONIO CLAVELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
252 CALLE SAN JORGE, SUITE #504 SAN JORGE MEDICAL BUILDING, SAN JUAN, PR 00912-3310
(787) 728-1575
(787) 726-0402
Mailing address
252 CALLE SAN JORGE STE 504, SAN JUAN, PR 00912-3241
(787) 728-1575
(787) 726-0402
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
5762
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38112500
—
PR
Enumeration date
12/08/2005
Last updated
08/07/2024
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