Provider Demographics
NPI:1114778495
Name:L & A DOCTORS LLC
Entity Type:Organization
Organization Name:L & A DOCTORS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENTE
Authorized Official - Prefix:
Authorized Official - First Name:LIZA
Authorized Official - Middle Name:
Authorized Official - Last Name:MATOS LAGO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-384-5723
Mailing Address - Street 1:SABANERA DORADO 526
Mailing Address - Street 2:CAMINO DE GUILARTE
Mailing Address - City:DORADO
Mailing Address - State:PR
Mailing Address - Zip Code:00646-0526
Mailing Address - Country:US
Mailing Address - Phone:787-384-5723
Mailing Address - Fax:
Practice Address - Street 1:SABANERA DORADO 526
Practice Address - Street 2:CAMINO DE GUILARTE
Practice Address - City:DORADO
Practice Address - State:PR
Practice Address - Zip Code:00646
Practice Address - Country:US
Practice Address - Phone:787-252-2165
Practice Address - Fax:787-868-7258
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-27
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty