Individual
JORGE J LASTRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
MANATI MEDICAL CENTER, SUITE 201, MANATI, PR 00674
(787) 621-3737
(787) 621-3251
Mailing address
MANATI MEDICAL CENTER, SUITE 201, MANATI, PR 00674
(787) 621-3737
(787) 621-3251
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
13229
PR
Other
Enumeration date
12/29/2006
Last updated
09/28/2009
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