Organization
CENTRO OFTALMOLOGICO DEL SUR, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LUIS A. SANTIAGO MD (PRESIDENT)
(787) 864-2010
Entity
Organization
Contact information
Practice address
27 ENRIQUE GONZALEZ ST., GUAYAMA, PR 00784
(787) 864-2010
Mailing address
27 ENRIQUE GONZALEZ ST., GUAYAMA, PR 00784
(787) 864-2010
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
20679
PR
Other
Enumeration date
07/24/2017
Last updated
07/21/2022
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