Organization
PHYSICIAN INDEPENDENT PRACTICE ORGANIZATION, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GUIDO LUGO (PRESIDENT)
(787) 892-8092
Entity
Organization
Contact information
Practice address
102 CALLE DR VEVE, SAN GERMAN, PR 00683-4132
(787) 892-8092
(888) 777-9122
Mailing address
PO BOX 80, SAN GERMAN, PR 00683-0080
(787) 892-8092
(888) 777-9122
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Enumeration date
02/10/2012
Last updated
02/10/2012
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