Organization
SAN LAZARGERD MEDICAL II CSP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELIZABETH RUIZ (SECRETARY)
(787) 897-0353
Entity
Organization
Contact information
Practice address
CARR 129 KM 21.2, LARES, PR 00669-0000
(787) 897-0353
Mailing address
PO BOX 428, LARES, PR 00669-0428
(787) 897-0353
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
02/17/2015
Last updated
10/16/2015
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