# POLICLINICAS DE PONCE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154306959
- **Authorized official:** EFRAIN D GONZALEZ DROZ MD (PRESIDENTE)
- **Authorized official phone:** (787) 848-1293

## Contact information

- **Practice address:** PLAZOLETA MORELL CAMPOS PONCE CASH & CARRY, LOCAL \#4, PONCE, PR 00732
- **Practice address phone:** (787) 812-3193
- **Practice address fax:** (787) 290-6689
- **Mailing address:** PMB 261, PO BOX 7105, PONCE, PR 00732
- **Mailing address phone:** (787) 812-1293
- **Mailing address fax:** (787) 290-6689

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 05B2134 | PR | Yes |

## Other

- **Enumeration date:** 12/14/2005
- **Last updated:** 08/22/2020