| Organization Name: | LAS LOMAS MEDICAL GROUP CSP |
| NPI Number: | 1528386190 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | VICTOR A APONTE (PRESIDENT) |
| Mailing Address: | Carretera 21 U3 -3 Rio Piedras |
| State: | PR US |
| Postal Code: | 009210000 |
| Phone Number: | 7877836460 |
| Fax Number: | 7877920018 |
| NPI Enumeration Date: | 05/06/2010 |
| NPI Last Update Date: | 10/09/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 9284 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |