Organization
LMG MEDICAL SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIZZETTE MONTALVO M.D. (PRESIDENT)
(787) 752-6767
Entity
Organization
Contact information
Practice address
4A-S2 FRAGOSO AVE., VILLA FONTANA, CAROLINA, PR 00985-7321
(787) 752-6767
(787) 752-6773
Mailing address
PARQUE ESCORIAL, AVE. SUR 3510, COND. THE RESIDENCES,, BLDG. 6, APT. 13, CAROLINA, PR 00987
(787) 752-6767
(787) 752-6773
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
207Q00000X
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ET644A
PTAN
PR
Enumeration date
03/27/2013
Last updated
03/27/2013
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