LUIS NELSON ROMAN LANTIGUA-TATEM

BRONX, NY
NPI1205125820
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207R00000X Internal Medicine
(Licence: DE  C1-0010882)
Enumeration Date2011-04-05
Last Update Date2020-04-21
Business Address
Mr. LUIS NELSON ROMAN LANTIGUA-TATEM M.D.
1770 GRAND CONCOURSE APT A-C
BRONX, NY 10457-5524
Phone number: 347-304-8404
Mailing Address
Mr. LUIS NELSON ROMAN LANTIGUA-TATEM M.D.
1650 SELWYN AVE
BRONX, NY 10457-7626
Phone number: 718-316-1702
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