Individual
DR. ROQUE CESAR NIDO LANAUSSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3 CALLEJON LOS VETERANOS, GUAYAMA MEDICAL CENTER, 1ST FLOOR, GUAYAMA, PR 00784-5984
(787) 864-1012
(787) 866-2125
Mailing address
PO BOX 180, GUAYAMA, PR 00785-0180
(787) 864-1012
(787) 866-2125
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
7453
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
066139
CRUZ AZUL
PR
01
—
1173
INTERNATIONAL MEDICAL CAR
PR
01
—
2-04001
PREFERRED
PR
01
—
3307453
UIA
PR
01
—
600564
MMM
PR
01
—
6550006
HUMANA
PR
01
—
99248NI
SSS
PR
01
—
M-115
MENONITA
PR
01
—
PE-1451
PALIC PROVIDER
PR
Enumeration date
09/12/2005
Last updated
03/10/2011
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