Organization
MUNICIPIO DE RIO GRANDE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUIS DOMINGO LEBRON M.D. (PRESIDENT)
(787) 809-1010
Entity
Organization
Contact information
Practice address
CALLE MANUEL PIMENTEL Y CASTRO #200, PUEBLO, RIO GRANDE, PR 00745-0000
(787) 809-1010
Mailing address
CALLE MANUEL PIMENTEL Y CASTRO #200, RIO GRANDE, PR 00745-0000
(787) 809-1010
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary
97
PR
Other
Enumeration date
05/25/2007
Last updated
04/20/2008
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