Organization
GRUPO MEDICO PONCE DE LEON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OSCAR QUINTERO (PRESIDENT)
(787) 767-1637
Entity
Organization
Contact information
Practice address
623 AVE PONCE DE LEON, SAN JUAN, PR 00917-4820
(787) 767-1637
Mailing address
623 AVE PONCE DE LEON, SAN JUAN, PR 00917-4820
(787) 767-1637
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
05/20/2006
Last updated
08/22/2020
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