PEDRO L LASTRA CALDERON

Dr PEDRO L LASTRA CALDERON is a male medical professional, specializing in General Practice. He graduated in 1982.

Contact

CARR 188 KM
3 BO SAN ISIDRO
CANOVANAS
PR
007290001

Tel: 7872562180

PEDRO L LASTRA CALDERON Information

Npi 1407079569
Pac Id 4981760014
Professional Enrollment Id I20090225000548
Last Name LASTRA CALDERON
First Name PEDRO
Middle Name L
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 1982
Primary Specialty GENERAL PRACTICE
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address CARR 188 KM
Line 2 Street Address 3 BO SAN ISIDRO
Marker Of Address Line 2 Suppression
City CANOVANAS
State PR
Zip Code 007290001
Phone Number 7872562180
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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