Southern Retina Consultants Psc

NPI #1154314292 in Ponce, Puerto Rico

Provider Information

NPI Number
1154314292
Entity Type
Organization
Organization Name
Southern Retina Consultants Psc
Primary Specialty
Ophthalmology
Enumeration Date
Aug 24, 2005
Last Updated
Mar 25, 2009

Practice Location

Address
909 AVE TITO CASTRO
Address 2
SUITE 709
City
Ponce
ZIP Code
00716-4728
Phone
(787) 842-2512

Authorized Official

Name
DR. JORGE H GUTIERREZ-DORRINGTON, M.D.
Title
PRESIDENT
Phone
(787) 842-2512

Specialties & Taxonomy Codes

Specialty
Ophthalmology

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