Organization
CENTRO QUIRURGICO DE LA MONTANA INC
Active
Other names
GRUPO DE CIRUJANOS CQM
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUIS R. SANTIAGO M.D. (PRESIDENT)
(787) 535-0380
Entity
Organization
Contact information
Practice address
174 CALLE LUIS BARRERAS S, CAYEY, PR 00736-4615
(787) 535-0380
(787) 535-0363
Mailing address
PO BOX 371358, CAYEY, PR 00737-1358
(787) 535-0380
(787) 535-0363
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
10
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10
LICENSE
PR
Enumeration date
08/27/2009
Last updated
03/06/2020
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