Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 170100000X | Medical Geneticist | 5130 | PR |
NPI | 1669542486 |
---|---|
Provider Name | Dr. Lucas Jorge Riossantoni |
First Address | Guanica, PR 00653-1303 |
Second Address | Guanica, PR 00653-2533 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/11/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01802 | AMERICAN HEALTH INC. (01) | PR |
100354W | MEDICARE Y MUCHO MAS (01) | PR |
1130 | FIRST MEDICAL HEALTH PLAN (01) | |
201762 | PREFERRED HEALTH (01) | PR |
2381 | PREFERRED MEDICARE CHOICE (01) | PR |
26400 | REFORMA DE SSS (01) | PR |
582626003 | LA CRUZ AZUL (01) | PR |
6530012 | HUMANA HEALTH PLAN (01) | PR |
66011111101 | MCS MEDICAL CARD SYSTEM (01) | PR |
E31337 | (02) | PR |