Organization
INNOVATIVE GYN P.S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIANETTE M PEREZ M.D (PRESIDENT)
(787) 258-0614
Entity
Organization
Contact information
Practice address
500 AVE DEGETAU STE 414, 500 AVE DEGETAU, CAGUAS, PR 00725-7307
(787) 258-0614
(787) 961-4663
Mailing address
500 AVE DEGETAU, HIMA PLAZA ONE STE 414, CAGUAS, PR 00725
(787) 258-0614
(787) 961-4663
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
—
—
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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