Organization
LATONI PLASTICAND RECONSTRUCTIVE SURGERY PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JORGE D LATONI MALDONADO MD (PRESIDENT)
(787) 831-1000
Entity
Organization
Contact information
Practice address
27 CALLE NELSON PEREA, EDF DOCTORS CENTER SUITE 105, MAYAGUEZ, PR 00680-4949
(787) 831-1000
(787) 831-1000
Mailing address
PO BOX 1856, MAYAGUEZ, PR 00681-1856
(787) 831-1000
(787) 831-1000
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
11812
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11812
MD LICENSE
PR
Enumeration date
12/03/2013
Last updated
12/03/2013
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