Individual
MONICA L PORTALATIN PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
POLICLINICA FAMILIAR DEL SUR, PONCE MALL- SUITE 15 CARR 2 KM 225.8, PONCE, PR 00731
(787) 840-8500
(787) 840-8500
Mailing address
URB SAN JOSE 309, CALLE FRANCISCO PALAU, PONCE, PR 00728-1908
(787) 842-5288
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
17345
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17,345
STATE LICENCE
PR
Enumeration date
04/20/2009
Last updated
10/12/2012
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