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Organization
PONCE SCHOOL OF MEDICINE PRACTICE GROUP
Active
Organization
PONCE SCHOOL OF MEDICINE PRACTICE GROUP
Active
Other names
PSM Practice Group
Organization subpart
No
Provider details
NPI number
Authorized official
HECTOR BURGOS (ADMINISTRATOR)
(787) 614-2972
Entity
Organization
Contact information
Practice address
ANN D PEREZ MARSHAND ST LOTE 2, URB INDUSTRIAL REPARADA, PONCE, PR 00732-7004
(787) 840-0052
(787) 284-3619
Mailing address
PO BOX 7004, PONCE SCHOOL OF MEDICINE PRACTICE GROUP, PONCE, PR 00732-7004
(787) 840-0052
(787) 840-2317
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
4650E
PR
Other
Enumeration date
09/26/2006
Last updated
08/28/2008
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