Individual
DR. NELSON DOMINGO MATOS-LUCIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
AVE. PONCE DE LEON, PDA. 37.5, SAN JUAN, PR 00919
(787) 758-2000
Mailing address
127 CALLE GUARAGUAO, URB. MONTEHIEDRA, SAN JUAN, PR 00926-7101
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
20917
PR
Other
Enumeration date
06/09/2010
Last updated
03/04/2014
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