# CENTRO MEDICO POLICLINICAS DE PUERTO RICO, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Policlinicas de Ponce
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073805578
- **Authorized official:** MR. JEFFREY G DROZ M.H.S.A. (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (787) 225-2233

## Contact information

- **Practice address:** PLAZOLETA PONCE CASH & CARRY, LOCAL \# 4, URB. MORRELL CAMPOS, PONCE,, PR 00732
- **Practice address phone:** (787) 812-3194
- **Practice address fax:** (787) 290-6689
- **Mailing address:** PMB261 BOX 7105, PONCE, PR 00732
- **Mailing address phone:** (787) 284-1566
- **Mailing address fax:** (787) 290-6689

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | — | NULL | Yes |

## Other

- **Enumeration date:** 05/03/2011
- **Last updated:** 05/03/2011