Individual
DORIS GISELA LASANTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
CALLE 42 L1 TURABO GARDENS V, CAGUAS, PR 00725
(786) 747-2883
(787) 747-2883
Mailing address
CAMINO DE VELARDE NH25, MANSION DEL NORTE, TOA BAJA, PR 00949
(787) 784-5284
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
16367
PR
207QG0300X
Geriatric Medicine (Family Medicine) Physician
16367
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16367
MEDICAL LICENSE
PR
Enumeration date
07/26/2006
Last updated
08/10/2011
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