# PONTEZUELA GROUP PSC

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

## Provider details

- **NPI number:** 1548651417
- **Authorized official:** DR. CHARLES AYALA M.D. (PRESIDENTE)
- **Authorized official phone:** (787) 964-7184

## Contact information

- **Practice address:** 10 AVE. JOSE TONY SANTANA, EDIF 1 LOCAL C, CAROLINA, PR 00979
- **Practice address phone:** (787) 757-2347
- **Mailing address:** PO BOX 38095, SAN JUAN, PR 00937-1095
- **Mailing address phone:** (787) 757-2347

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/12/2015
- **Last updated:** 02/12/2015