South Prime Ob-Gyn LLC
NPI #1023664042 in Ponce, Puerto Rico
Provider Information
- NPI Number
- 1023664042
- Entity Type
- Organization
- Organization Name
- South Prime Ob-Gyn LLC
- Primary Specialty
- Obstetrics & Gynecology - Obstetrics
- Enumeration Date
- Aug 15, 2019
- Last Updated
- Aug 15, 2019
Practice Location
- Address
- HOSPITAL DAMAS
- Address 2
- 2213 PONCE BYPASS
- City
- Ponce
- State
- Puerto Rico
- ZIP Code
- 00717
- Phone
- (787) 633-9260
Authorized Official
- Name
- DR. LENNY G PAGAN, MD
- Title
- PRESIDENT
- Phone
- (787) 633-9260
Specialties & Taxonomy Codes
| Specialty |
|---|
| Obstetrics & Gynecology - Obstetrics — Obstetrics |
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