Organization
MANATI PHYSICIAN GROUP LUCAS,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL PADILLA ROSA (PRESIDENT)
(787) 854-3851
Entity
Organization
Contact information
Practice address
J23 CALLE ELLIOT VELEZ, MANATI, PR 00674-4616
(787) 854-3851
Mailing address
PO BOX 1096, MANATI, PR 00674-1096
(787) 854-3851
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
07/28/2020
Last updated
07/28/2020
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