Ponce School of Medicine Practice Group

NPI #1760583504 in Ponce, Puerto Rico

Provider Information

NPI Number
1760583504
Entity Type
Organization
Organization Name
Ponce School of Medicine Practice Group
Primary Specialty
Clinic/Center - Multi-Specialty
Enumeration Date
Sep 26, 2006
Last Updated
Aug 28, 2008

Practice Location

Address
ANN D PEREZ MARSHAND ST LOTE 2
Address 2
URB INDUSTRIAL REPARADA
City
Ponce
ZIP Code
00732-7004
Phone
(787) 840-0052

Authorized Official

Name
HECTOR BURGOS
Title
ADMINISTRATOR
Phone
(787) 614-2972

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Multi-SpecialtyMulti-Specialty

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