Individual
EDUARDO ISAAC PEREZ LUCIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
PHSU, 388 ZONA INDUSTRIAL REPARADA 2, PONCE, PR 00716
(787) 840-2575
Mailing address
PO BOX 7044, PONCE, PR 00732-7044
(787) 840-2525
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/15/2023
Last updated
06/15/2023
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