Organization
INSTITUTO DE GASTROENTEROLOGIA DE P.R.
Active
Other names
Inst Gastroenterologia
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PRUDENCIO A. LAUREANO M.H.S.A. (ADMINISTRATOR)
(787) 764-8787
Entity
Organization
Contact information
Practice address
400 AVE F.D. ROOSEVELT AVE., SUITE 206, SAN JUAN, PR 00918
(787) 764-8787
(787) 250-1029
Mailing address
400 AVE F.D, ROOSEVELT AVE., SUITE 206, SAN JUAN, PR 00918
(787) 764-8787
(787) 250-1029
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
PR
207RG0100X
Gastroenterology Physician
—
—
Other
Enumeration date
09/06/2005
Last updated
10/21/2011
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