Organization
LS ID SPECIALTY PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LILIA R SANCHEZ M.D. (PRESIDENT)
(787) 613-5742
Entity
Organization
Contact information
Practice address
AVENIDA JUAN MARTINEZ 14 CONDOMINIO MALAGA PARK, NUMBER 77, GUAYNABO, PR 00971
(787) 613-5742
Mailing address
AVENIDA JUAN MARTINEZ 14 CONDOMINIO MALAGA PARK, NUMBER 77, GUAYNABO, PR 00971
(787) 613-5742
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
338275
REGISTRY
PR
Enumeration date
05/15/2015
Last updated
05/15/2015
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