Individual
PEDRO LAZARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
QUADRANGLE MEDICAL CENTER SUITE 305, AVE LUIS MUNOX MARIN 50, CAGAUS, PR 00725
(787) 744-0857
Mailing address
1916 PLATANILLO, STA MARIA, RIO PIEDRAS, PR 00927
(787) 744-0857
Taxonomy
Speciality
Code
Description
License number
State
2084P0802X
Addiction Psychiatry Physician
Primary
8839
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8839
LICENSE
PR
Enumeration date
10/26/2006
Last updated
07/08/2007
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