Organization
GLORIA PONCE TUA MEDICINA INTERNA CSP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLORIA I PONCE TUA M.D. (MEDICO INTERNISTA)
(787) 833-0685
Entity
Organization
Contact information
Practice address
CALLE DR BASORA NO 55N, SUITE 204D, MAYAGUEZ, PR 00680-4888
(787) 833-0685
(787) 265-2755
Mailing address
CALLE DR BASORA NO 55N, SUITE 204D, MAYAGUEZ, PR 00680-4888
(787) 833-0685
(787) 265-2755
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
13516
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1336189315
NPI
PR
Enumeration date
02/11/2014
Last updated
08/04/2014
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