# SAINT LUKES MEMORIAL HOSPITAL INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** GRUPO MEDICO ANESTESIA - SAN LUCAS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306529805
- **Authorized official:** ELYONEL PONTON CRUZ (PRINCIPAL EJECUTIVO OPERACIONAL)
- **Authorized official phone:** (787) 844-2080

## Contact information

- **Practice address:** 917 AVE TITO CASTRO, PONCE, PR 00716-4717
- **Practice address phone:** (787) 844-2080
- **Practice address fax:** (787) 844-2090
- **Mailing address:** PO BOX 336810, PONCE, PR 00733-6810
- **Mailing address phone:** (787) 844-2080
- **Mailing address fax:** (787) 844-2090

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/10/2023
- **Last updated:** 08/10/2023
