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Angel Luis Medina Orta
General Practice Physician in San Lorenzo, N/A
NPI 1720733710

Angel Luis Medina Orta is a General Practice Physician based in San Lorenzo, . Angel Luis Medina Orta practices in San Lorenzo, . The NPI Number for Angel Luis Medina Orta is 1720733710 and holds a License No. 22601 (N/A).

The current practice location address for Angel Luis Medina Orta is Urb Santa Clara Calle 5 #222, San Lorenzo, and can be reached out via phone at 787-672-8753.

Location: Urb Santa Clara Calle 5 #222, San Lorenzo, , 00754-9998
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720733710
Provider Name
Angel Luis Medina Orta
Credential
Provider Entity Type
Individual
Gender
Male
Address
Urb Santa Clara Calle 5 #222, San Lorenzo, , 00754-9998
Phone Number
787-672-8753
Fax Number
Provider Enumeration Date
02/17/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
Urb Santa Clara Calle 5 #222
City
San Lorenzo
State
Zip
00754-9998
Phone Number
787-672-8753
Fax Number
person
Provider Business Mailing Address Details
Address
Urb Santa Clara Calle 5 #222
City
San Lorenzo
State
Zip
00754-9998
Phone Number
787-672-8753
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
22601 ()
Definition
Definition to come...
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