Provider Demographics
NPI:1790045805
Name:LUNG PROTECTIVE STRATEGIES, PSC
Entity Type:Organization
Organization Name:LUNG PROTECTIVE STRATEGIES, PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HECTOR
Authorized Official - Middle Name:YUSSEF
Authorized Official - Last Name:VAZQUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-250-6425
Mailing Address - Street 1:405 AVE ESMERALDA
Mailing Address - Street 2:SUITE 102-356
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969-4466
Mailing Address - Country:US
Mailing Address - Phone:787-250-6526
Mailing Address - Fax:
Practice Address - Street 1:405 AVE ESMERALDA
Practice Address - Street 2:SUITE 102-356
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00969-4466
Practice Address - Country:US
Practice Address - Phone:787-250-6425
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-22
Last Update Date:2012-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR13983207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR308552OtherREGISTRO DEPARTAMENTO DE ESTADO