| Luquillo Medical LLC | |
|
171 Calle Cpl Feliciano Rivera Luquillo PR 00773-2147 | |
| (787) 534-8384 | |
| (787) 534-8385 |
| Full Name | Luquillo Medical LLC |
|---|---|
| Speciality | General Practice |
| Location | 171 Calle Cpl Feliciano Rivera, Luquillo, Puerto Rico |
| Authorized Official Name and Position | Frank a Gregory (PRESIDENT) |
| Authorized Official Contact | 7875137292 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Luquillo Medical LLC Po Box 77 Luquillo PR 00773-0077 Ph: (787) 534-8384 | Luquillo Medical LLC 171 Calle Cpl Feliciano Rivera Luquillo PR 00773-2147 Ph: (787) 534-8384 |
| NPI Number | 1114493152 |
|---|---|
| Provider Enumeration Date | 10/17/2018 |
| Last Update Date | 04/14/2021 |
| Certification Date | 04/14/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114493152 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | () | Primary |
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