Organization
PONCE MEDICAL SCHOOL FOUNDATION INC
Active
Other names
CSCO PONCE
Organization subpart
No
Provider details
NPI number
Authorized official
ANABELLE JORGE (ADMINISTRATOR)
(787) 840-2575
Entity
Organization
Contact information
Practice address
396 CALLE DR. LUIS F. SALAS, ZONA IND. REPARADA 2, PONCE, PR 00716-2347
(787) 840-2575
(787) 840-5231
Mailing address
PO BOX 7004, PONCE, PR 00732-7004
(787) 840-2575
(787) 840-5231
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
104100000X
Social Worker
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
208D00000X
General Practice Physician
—
—
Other
Enumeration date
03/03/2011
Last updated
07/02/2013
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