Organization
HEALTH SOUTH PRIMARY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DENISSE GONZALEZ (PRESIDENT)
(787) 284-6184
Entity
Organization
Contact information
Practice address
TORRE MED SAN LUCAS, PONCE, PR 00716-4728
(787) 284-6184
Mailing address
PO BOX 800942, COTO LAUREL, PR 00780-0942
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
04/26/2012
Last updated
04/26/2012
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