Lastra Calderon, Pedro Luis
Lastra Calderon, Pedro Luis is an individual health care provider with primary practice located at 3 Calle Autonomia , Canovanas PR 00729-3246. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Lastra Calderon, Pedro Luis can be contacted via phone (787) 876-2215.Contact Information
Primary practice address
3 Calle Autonomia
Canovanas PR 00729-3246
Phone: (787) 876-2215
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 7262 | Puerto Rico |
Profile Details
NPI number | 1407079569 |
---|---|
LBN Legal business name | Lastra Calderon, Pedro Luis |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 10th, 2007 |
Last updated | Jul 20th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1407079569 | NPPES |
Puerto Rico | MEDICAID | 038914800 | |
Puerto Rico | Other | 28565 | |
Puerto Rico | Other | 500097E |
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