| Organization Name: | LARES MEDICAL CENTER INC |
| NPI Number: | 1013041888 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ANGULO JOHNSON ALBERTO (MEDICO) |
| Mailing Address: | Carr 111 Km 2.9 Ave. Los Patriotas Lares |
| State: | PR US |
| Postal Code: | 00669 |
| Phone Number: | 7878971444 |
| Fax Number: | 7878974952 |
| NPI Enumeration Date: | 03/15/2007 |
| NPI Last Update Date: | 04/20/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QE0002X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Emergency Care |
| Taxonomy Definition: | |