Individual
DR. IDAMAR LAUREANO LANDRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
LOTE 1METRO OFFICE PARK, SUITE 400, GUAYNABO, PR 00968
(787) 774-3344
(787) 774-6251
Mailing address
39 STREET SANTA JUANITA, PMB 334 UU1, BAYAMON, PR 00956
(787) 396-7423
(787) 288-1115
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11704
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11704
MEDICAL LICENSE
PR
01
—
1625033
LICENCIA DE CHOFER
PR
Enumeration date
03/30/2007
Last updated
07/08/2007
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