Organization
CENTRO CARDIONUCLEAR DE PONCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FARES A CID MANSUR MD (PRESIDENT)
(787) 812-1210
Entity
Organization
Contact information
Practice address
AVE TITO CASTRO 909, TORRE MEDICA SAN LUCAS OFICINA 509, PONCE, PR 00716
(787) 812-1210
(787) 812-1211
Mailing address
PMB 383609, AVE TITO CASTRO SUITE 102, PONCE, PR 00716
(787) 812-1210
(787) 812-1211
Taxonomy
Speciality
Code
Description
License number
State
207UN0901X
Nuclear Cardiology Physician
Primary
—
—
Other
Enumeration date
07/16/2008
Last updated
08/05/2010
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