Individual
GIANCARLO PEREZ LORENZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
JJ 21 CALLE 32, URB VILLA RITA, SAN SEBASTIAN, PR 00685-2804
(404) 901-5084
Mailing address
JJ 21 CALLE 32, URB VILLA RITA, SAN SEBASTIAN, PR 00685-2804
(404) 901-5084
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
674
PR
Other
Enumeration date
08/03/2020
Last updated
08/03/2020
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