Centro Residencial Varones Ponce
NPI #1417176603 in Ponce, Puerto Rico
Provider Information
- NPI Number
- 1417176603
- Entity Type
- Organization
- Organization Name
- Centro Residencial Varones Ponce
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- Apr 25, 2007
- Last Updated
- Aug 7, 2008
Practice Location
- Address
- HOSPITAL SAN LUCAS 2
- City
- Ponce
- State
- Puerto Rico
- ZIP Code
- 00732
- Phone
- (787) 840-6835
Authorized Official
- Name
- MRS. ADA MATOS
- Title
- ADMINISTRATOR
- Phone
- (787) 840-6835
Specialties & Taxonomy Codes
| Specialty |
|---|
| Substance Abuse Rehabilitation Facility |
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