Organization
LDG MEDICAL SERVICES GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM DE GRACIA (TREASURER)
(787) 479-6620
Entity
Organization
Contact information
Practice address
1225 PONCE DE LEON, VIG TOWER SUITE 702, SAN JUAN, PR 00907-1903
(787) 721-0279
(877) 777-3208
Mailing address
1225 PONCE DE LEON AVE, VIG TOWER SUITE 702, SAN JUAN, PR 00907-3108
(787) 479-6620
(877) 777-3208
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
03/06/2018
Last updated
10/05/2023
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