Medical Prosthetic
NPI #1205019965 in Toa Alta, Puerto Rico
Provider Information
- NPI Number
- 1205019965
- Entity Type
- Organization
- Organization Name
- Medical Prosthetic
- Primary Specialty
- Clinic/Center - Amputee
- Enumeration Date
- Dec 17, 2007
- Last Updated
- Dec 17, 2007
Practice Location
- Address
- EBANO 74 MONTECASINO
- City
- Toa Alta
- State
- Puerto Rico
- ZIP Code
- 00953
- Phone
- (787) 359-4770
Authorized Official
- Name
- MR. LUIS DANIEL PONTON, COF
- Title
- CEO
- Phone
- (787) 359-4770
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Amputee — Amputee |
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