Healthcare Provider Details

I. General information

NPI: 1659677664
Provider Name (Legal Business Name): LHM, C.S.P.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/09/2011
Last Update Date: 02/09/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

JULIO CINTRON 204 SUITE 108
AIBONITO PR
00705
US

IV. Provider business mailing address

PO BOX 4985 PMB 191
CAGUAS PR
00726-4985
US

V. Phone/Fax

Practice location:
  • Phone: 787-991-2294
  • Fax: 787-991-2776
Mailing address:
  • Phone: 787-991-2294
  • Fax: 787-991-2776

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number7227
License Number StatePR

VIII. Authorized Official

Name: REYNALDO ARMANDO GONZALEZ
Title or Position: PRESIDENT
Credential: MD
Phone: 787-991-2294