Organization
SOUTHERN RETINA CONSULTANTS PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JORGE H GUTIERREZ-DORRINGTON M.D. (PRESIDENT)
(787) 842-2512
Entity
Organization
Contact information
Practice address
909 AVE TITO CASTRO, SUITE 709, PONCE, PR 00716-4728
(787) 842-2512
(787) 840-6966
Mailing address
PO BOX 801089, COTO LAUREL, PR 00780-1089
(787) 842-2512
(787) 840-6966
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
11622
PR
Other
Enumeration date
08/24/2005
Last updated
03/25/2009
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