Individual
MR. LUIS E MORENO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
LAS FLORES ST 76 NO, CATANO, PR 00962
(787) 788-2770
(787) 275-0855
Mailing address
389 NO CIUDAD JARDIN III, GRAN AUSUBO ST, TOA ALTO, PR 00953-4886
(787) 799-0604
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
12374
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
500134E
MMM
PR
Enumeration date
04/13/2006
Last updated
07/08/2007
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