| Organization Name: | LBA MEDICAL SERVICES INC |
| NPI Number: | 1144224874 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LORENZO E BOSQUE (MEDICAL DIRECTOR) |
| Mailing Address: | 145 Calle Guaraguao San Juan |
| State: | PR US |
| Postal Code: | 009267101 |
| Phone Number: | 7877606604 |
| Fax Number: | 7872920130 |
| NPI Enumeration Date: | 06/10/2005 |
| NPI Last Update Date: | 04/05/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 87071 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |