Individual
LUIS M SIACA COLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
DIAZ BRETANA MEDICAL BUILDING, OFICINA 202, SAN LORENZO, PR 00754
(787) 736-8265
(787) 736-8265
Mailing address
CHALETS DE BAIROA C/COLIBRI #96, CAGUAS, PR 00727-1272
(787) 308-3602
(787) 736-8265
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
012479
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11912479
GLOBAL HEALTH
PR
Enumeration date
12/05/2005
Last updated
09/25/2012
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