Lgf Llc | |
1357 Ave Ashford Pmb 282 San Juan PR 00907-1400 | |
(787) 641-0773 | |
Not Available |
Full Name | Lgf Llc |
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Speciality | Clinic/center - Adolescent And Children Mental Health |
Location | 1357 Ave Ashford, San Juan, Puerto Rico |
Authorized Official Name and Position | Lorenzo Gonzalez (CHILD AND ADOLESCENTS PSYCHIATRIST) |
Authorized Official Contact | 7876410773 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lgf Llc 1357 Ave Ashford Pmb 282 San Juan PR 00907-1400 Ph: (787) 641-0773 | Lgf Llc 1357 Ave Ashford Pmb 282 San Juan PR 00907-1400 Ph: (787) 641-0773 |
NPI Number | 1063882439 |
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Provider Enumeration Date | 09/29/2015 |
Last Update Date | 09/29/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063882439 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0855X | Clinic/center - Adolescent And Children Mental Health | 10984 (Puerto Rico) | Primary |
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