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Individual

SUSANA ELVIRA LANTIGUA TEJADA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
LUIS MUNOZ RIVERA, 157, SAN LORENZO, PR 00754
(787) 736-6543
(787) 736-6543
Mailing address
PO BOX 9088, HUMACAO, PR 00792-9088
(787) 736-6543
(787) 736-6543

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
17130
PR

Other

Enumeration date
05/13/2008
Last updated
04/12/2022
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