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Contact Information

LISELLE LATHROUM, MD
230 CALLE VIENA
COLLEGE PARK
SAN JUAN, PR00921-4804
 Phone: 787-413-0779
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Children

282NC2000X A0[7] Hospital-Children’s (PPS excluded)
Indicates primary specialty

NPI Profile & details for

NPI Number 1548512460
Entity Organization
Organization subpart 1 Not specified
Enumeration date 10/03/2012
Last updated 10/03/2012 - About 14 years ago
Identifiers
PR License # 030165-R
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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