| L A Primary Care & Specialty Group | |
|
Portales De Altamesa Edificio #16, Apt 1606 San Juan PR 00921-4628 | |
| (787) 226-6359 | |
| Not Available |
| Full Name | L A Primary Care & Specialty Group |
|---|---|
| Speciality | Family Medicine |
| Location | Portales De Altamesa, San Juan, Puerto Rico |
| Authorized Official Name and Position | Ramon Luis Lopez Acosta (PRESIDENT) |
| Authorized Official Contact | 7872266359 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| L A Primary Care & Specialty Group Po Box 11395 San Juan PR 00922-1395 Ph: (787) 226-6359 | L A Primary Care & Specialty Group Portales De Altamesa Edificio #16, Apt 1606 San Juan PR 00921-4628 Ph: (787) 226-6359 |
| NPI Number | 1023383536 |
|---|---|
| Provider Enumeration Date | 03/16/2012 |
| Last Update Date | 03/16/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023383536 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 09645 (Puerto Rico) | Primary |
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