Organization
PONCE CARDIO IMAGING, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OSCAR CRESPO M.D. (RESIDENT AGENT)
(787) 258-8600
Entity
Organization
Contact information
Practice address
1357 ASHFORD AVE., PMB 409, SAN JUAN, PR 00907
(787) 653-0505
(787) 258-8600
Mailing address
1357 ASHFORD AVE., PMB 409, SAN JUAN, PR 00907
(787) 653-0505
(787) 258-8600
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
04/21/2010
Last updated
04/21/2010
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