Organization
NLS GYN ONCOLOGY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICOLE LUGO SANTIAGO MD (PRESIDENT)
(305) 613-3886
Entity
Organization
Contact information
Practice address
735 AVE PONCE DE LEON STE 814, SAN JUAN, PR 00917-5031
(787) 945-2919
Mailing address
100 CARR 165 STE 501, GUAYNABO, PR 00968-8052
(305) 613-3886
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
—
—
Other
Enumeration date
08/20/2024
Last updated
08/20/2024
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