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1740308675
LUIS FONTAN LASANTA
CAYEY, PR
NPI
1740308675
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RI0200X Internal Medicine, Infectious Disease
(Licence: PR 13566)
Enumeration Date
2007-03-27
Last Update Date
2019-04-03
Business Address
LUIS FONTAN LASANTA
ROAD 14 KM 72.0 BO RINCON SEC LOMAS CENTRO MEDICO MENONITA CAYEY
CAYEY, PR 00737-2800
Phone number: 877-535-1001
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Mailing Address
LUIS FONTAN LASANTA
20 LUIS MUNOZ MARIN AVENUE PMB 611 URB VILLA BLANCA
CAGUAS, PR 00725
Phone number: 787-644-1333
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