Doctor Name: | ORLANDO J LLAVONA GONZALEZ |
NPI Number: | 1659340875 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 15563 |
Business Practice Address: | Calle 65 Infanteria 76 Sur Lajas, PR - 00667 |
Business Phone Number: | 7878995022 |
Business Fax Number: | 7878995022 |
Mailing Address: | Calle 65 Infanteria 76 Sur, LAJAS |
State: | PR |
Postal Code: | 00667 |
Phone Number: | 7878995022 |
Fax Number: | 7878995022 |
NPI Enumeration Date: | 03/17/2006 |
NPI Last Update Date: | 03/29/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 15563 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |