Lastra Calderon, Pedro Luis

Lastra Calderon, Pedro Luis is an individual health care provider with primary practice located at 3 Calle Autonomia , Canovanas PR 00729-3246. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Lastra Calderon, Pedro Luis can be contacted via phone (787) 876-2215.

Contact Information

Primary practice address
3 Calle Autonomia Canovanas PR 00729-3246
Phone: (787) 876-2215
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 7262 Puerto Rico

Profile Details

NPI number 1407079569
LBN Legal business name Lastra Calderon, Pedro Luis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2007
Last updated Jul 20th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407079569 NPPES
Puerto Rico MEDICAID 038914800
Puerto Rico Other 28565
Puerto Rico Other 500097E

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