Healthcare Provider Details
I. General information
NPI: 1649197021
Provider Name (Legal Business Name): LAPETINA SURGICAL CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
CARR. PR-2 KM 47.7 DOCTORS' CENTER HOSPITAL MANATI
MANATI PR
00674
US
IV. Provider business mailing address
PO BOX 367976
SAN JUAN PR
00936-7976
US
V. Phone/Fax
- Phone: 787-762-3393
- Fax:
- Phone: 787-640-8868
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208600000X |
| Taxonomy | Surgery Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
MIGUEL ENRIQUE
LAPETINA GAVILAN
Title or Position: OWNER
Credential: MD
Phone: 787-640-8868