Organization
YLC MIGS-CPP SPECIALIST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YOLIANNE LOZADA MD (OWNER)
(787) 307-1100
Entity
Organization
Contact information
Practice address
735 AVE PONCE DE LEON STE 812, SAN JUAN, PR 00917-5031
(787) 758-2000
Mailing address
15 CALLE LUNA, URB ADOQUINES, SAN JUAN, PR 00926
(787) 293-5386
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
—
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1144584012
NPI
—
Enumeration date
07/06/2018
Last updated
07/06/2018
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