Organization
LS PHYSIATRY AND SPORTS MEDICINE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUIS ALBERTO SANCHEZ COLON MD (PRESIDENT)
(787) 501-3399
Entity
Organization
Contact information
Practice address
640 AVE ANDALUCIA, SAN JUAN, PR 00920-5311
(787) 957-5553
Mailing address
400 GRAND BLVD LOS PRADOS APT 30103, CAGUAS, PR 00727-3383
(787) 501-3399
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
19393
PR
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
19393
PR
Other
Enumeration date
07/02/2017
Last updated
07/03/2017
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