Organization
ASSMCA PONCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LUIS MARTINEZ SUAREZ (ADMINISTRADOR)
(787) 766-7575
Entity
Organization
Contact information
Practice address
HOSPITAL SAN LUCAS CARR 14, PONCE, PR 00732
(787) 763-7575
Mailing address
PO BOX 607087, BAYAMON, PR 00960
(787) 763-7575
(787) 995-5167
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
10/05/2011
Last updated
10/05/2011
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