Organization
SAN LAZARGERD MEDICAL CENTER, CSP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERARDO GONZALEZ M.D (PRESIDENT)
(787) 897-3979
Entity
Organization
Contact information
Practice address
CARR. 129 KM 27.3, CARR. 129 KM 27.3, LARES, PR 00669
(787) 897-3979
Mailing address
BO. PUEBLO CARR. 129 KM 27.3, LARES, PR 00669
(787) 897-3979
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
11/17/2010
Last updated
11/17/2010
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