Provider Demographics
NPI:1134218092
Name:LAGO, MARIA ESPERANZA (MD)
Entity type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:ESPERANZA
Last Name:LAGO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 141893
Mailing Address - Street 2:
Mailing Address - City:ARECIBO
Mailing Address - State:PR
Mailing Address - Zip Code:00614-1893
Mailing Address - Country:US
Mailing Address - Phone:787-815-5734
Mailing Address - Fax:787-881-6969
Practice Address - Street 1:CANDELARIA MEDICAL GROUP
Practice Address - Street 2:CARR. 2 KM 62.7
Practice Address - City:SABANA HOYOS
Practice Address - State:PR
Practice Address - Zip Code:00688
Practice Address - Country:US
Practice Address - Phone:787-881-6969
Practice Address - Fax:787-881-6969
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR16602208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice