Doctor Name: | DOLCA MONTALVO LORENZO |
NPI Number: | 1316010184 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 7987 |
Business Practice Address: | Calle 65 De Infanteria #51 Anasco, PR - 006100367 |
Business Phone Number: | 7878262607 |
Business Fax Number: | 7878262607 |
Mailing Address: | Po Box 367, ANASCO |
State: | PR |
Postal Code: | 006100367 |
Phone Number: | 7878262607 |
Fax Number: | 7878262607 |
NPI Enumeration Date: | 11/17/2006 |
NPI Last Update Date: | 03/05/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 7987 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |