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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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