Organization
POLICLINICAS DE PONCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EFRAIN GONZALEZ DROZ MD (PRESIDENTE)
(787) 812-3193
Entity
Organization
Contact information
Practice address
261 BOX 7105 PMB, MORELL CAMPOS LOCAL 4, PONCE, PR 00732-7105
(787) 812-3193
Mailing address
261 BOX 7105 PMB, MORELL CAMPOS LOCAL 4, PONCE, PR 00732-7105
(787) 812-3193
Taxonomy
Speciality
Code
Description
License number
State
261QC1800X
Corporate Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
85165
MEDICARE SELECTO
PR
Enumeration date
03/20/2007
Last updated
08/22/2020
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