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LUQUILLO MEDICAL LLC NPI 1114493152


NPI Information

NPI: 1114493152
Provider Name: LUQUILLO MEDICAL LLC

Former Legal Business Name: LUQUILLO MEDICAL INC.

Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
171 CALLE CPL FELICIANO RIVERA
LUQUILLO, PR
ZIP 00773
Phone: (787) 534-8384
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LUQUILLO MEDICAL LLC is a general practice in Luquillo, PR. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee LUQUILLO MEDICAL LLC NPI is 1114493152. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Luquillo Medical Inc..

The provider's business location address is:

171 CALLE CPL FELICIANO RIVERA
LUQUILLO, PR
ZIP 00773-147
Phone: (787) 534-8384
Fax: (787) 534-8385

The provider's authorized official is Frank A Gregory .
The authorized official title is President and has the following contact phone number (787) 513-7292.

The enumeration date for this NPI number is 10/17/2018 and was last updated on 4/14/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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