Organization
GASTROENTEROLOGY AND CARDIAC ARRHYTHMIA SERVICE PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUARDE ISAAC MONTANO M.D. (PRESIDENT)
(787) 390-9090
Entity
Organization
Contact information
Practice address
93 PASEO HERRADURA, TRUJILLO ALTO, PR 00976-6068
(787) 390-9090
Mailing address
93 PASEO HERRADURA, TRUJILLO ALTO, PR 00976-6068
(787) 390-9090
Taxonomy
Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
13,964
PR
207RG0100X
Gastroenterology Physician
Primary
15,987
PR
Other
Enumeration date
04/02/2009
Last updated
04/02/2009
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