Doctor Name: | LAZARO ROIG |
NPI Number: | 1457453771 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 14401 |
Business Practice Address: | Carr # 2 Km 62.7 Sector Candelaria Bo. Sabana Hoyo Arecibo, PR - 00688 |
Business Phone Number: | 7878816969 |
Business Fax Number: | 7878816969 |
Mailing Address: | Po Box 141893, ARECIBO |
State: | PR |
Postal Code: | 006141893 |
Phone Number: | 7878155734 |
Fax Number: | 7878815161 |
NPI Enumeration Date: | 09/05/2006 |
NPI Last Update Date: | 08/13/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 14401 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |