# CLINICA DE FISIATRIA NEUROMUSCULAR DE PONCE, C.S.P.

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

## Provider details

- **NPI number:** 1497338008
- **Authorized official:** DR. ELBA YESI GERENA MALDONADO MD (PRESIDENT)
- **Authorized official phone:** (787) 840-2747

## Contact information

- **Practice address:** 310 TORRE SAN CRISTOBAL, COTO LAUREL, PR 00780-2856
- **Practice address phone:** (787) 840-2747
- **Practice address fax:** (787) 651-3847
- **Mailing address:** PO BOX 800997, COTO LAUREL, PR 00780-0997
- **Mailing address phone:** (787) 840-2747
- **Mailing address fax:** (787) 651-3847

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/30/2021
- **Last updated:** 05/13/2021