Individual
DR. LUIS A MANCEBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
CALLE GUILLERMO RIEFKHOL #99, PATILLAS, PR 00723-0000
(787) 839-4320
(787) 271-0004
Mailing address
PO BOX 697, PATILLAS, PR 00723-0697
(787) 839-4320
(787) 271-0004
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
14644
PR
2080A0000X
Pediatric Adolescent Medicine Physician
14644
PR
Other
Enumeration date
12/22/2008
Last updated
05/13/2016
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