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Organization
SOUTH PEARL MEDICAL CORP
Active
Organization
SOUTH PEARL MEDICAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARA MIRANDA (PRESIDENT)
(787) 903-4999
Entity
Organization
Contact information
Practice address
39 CALLE MAYOR, PONCE, PR 00730-3761
(787) 437-1601
Mailing address
909 AVE TITO CASTRO STE 714, PONCE, PR 00716-4722
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
09/13/2018
Last updated
09/13/2018
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