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1063911170
LUIS RAUL GOMEZ ORTIZ
SAN JUAN, PR
NPI
1063911170
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: PR 403163296)
Enumeration Date
2018-02-04
Last Update Date
2018-02-04
Business Address
LUIS RAUL GOMEZ ORTIZ
BARRIO MONACILLOS
SAN JUAN, PR 00935-0001
Phone number: 787-757-1800
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Mailing Address
LUIS RAUL GOMEZ ORTIZ
PO BOX 1011
LARES, PR 00669-1011
Phone number: 787-201-0039
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