Individual provider · Type 1 NPI
Pedro Luis Lastra Calderon, MD
General Practice Physician · Canovanas, PR
NPI number
1407079569
Active
Practice location
3 Calle Autonomia
Canovanas, PR 00729-3246
Mailing address
Plaza 13 BE25
Trujillo Alto, PR 00976
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | 7262 (PR) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
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About NPI 1407079569
Pedro Luis Lastra Calderon, MD's National Provider Identifier is 1407079569, issued on Apr 10, 2007. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Canovanas, PR. The record was last updated on Apr 1, 2025.