| Professional Advance Laparoscopy & Surgery | |
|
Ave A1 402 Luis Munoos Marin Caguas PR 00725-0000 | |
| (787) 272-4022 | |
| Not Available |
| Full Name | Professional Advance Laparoscopy & Surgery |
|---|---|
| Speciality | Clinic/center |
| Location | Ave A1 402, Caguas, Puerto Rico |
| Authorized Official Name and Position | Juan C Lopez De Victoria Rivera (PRESIDENT) |
| Authorized Official Contact | 7873724022 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Advance Laparoscopy & Surgery Po Box 4960 Pmb 381 Caguas PR 00726-4960 Ph: (787) 372-4022 | Professional Advance Laparoscopy & Surgery Ave A1 402 Luis Munoos Marin Caguas PR 00725-0000 Ph: (787) 272-4022 |
| NPI Number | 1932427630 |
|---|---|
| Provider Enumeration Date | 05/06/2010 |
| Last Update Date | 11/02/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932427630 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | MD429473 (Pennsylvania) | Secondary |
| 261Q00000X | Clinic/center | 016783 (Puerto Rico) | Primary |
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