Organization
LASAI CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERMAN R GONZALEZ M.D. (PRESIDENT)
(787) 849-2548
Entity
Organization
Contact information
Practice address
PLAZA CONSTANCIA, SUITE 103, HORMIGUEROS, PR 00660
(787) 849-2548
Mailing address
790 CALLE ARBOLEDA, HACIENDAS CONSTANCIA, HORMIGUEROS, PR 00660-9618
(787) 849-2548
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
11976
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11976
STATE LISCENCE
PR
01
—
1558345231
NPI
PR
Enumeration date
06/27/2007
Last updated
08/22/2020
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