Organization
CORP. FONDO DEL SEGURO DEL ESTADO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MAYRA E. CRUZ (PHARMACY TECHNICIAN)
(787) 848-4545
Entity
Organization
Contact information
Practice address
2136 AVE, SANTIAGO DE LOS CABALLEROS, APARATADO 949, PONCE, PR 00733
(787) 848-4545
Mailing address
APARTADO #949, PONCE, AVE. SANTIAGO DE LOS CABALLEROS #2136, PONCE, P.R. 00733
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
X
PR
Other
Enumeration date
05/26/2011
Last updated
07/21/2022
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