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Individual

DR. JOSE AGUSTIN LARA DEL RIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
ASEM RADIOLOGIA RCM, CENTRO MEDICO DE PR BO MONACILLOS, SAN JUAN, PR 00935
(787) 777-3535
(787) 777-3858
Mailing address
PO BOX 29134, RADIOLOGIA RCM, SAN JUAN, PR 00929-0134
(787) 777-3535
(787) 777-3858

Taxonomy

Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
19002
PR
2085R0202X
Diagnostic Radiology Physician
19002
PR

Other

Enumeration date
03/30/2009
Last updated
06/06/2016
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