Organization
CENTRO RESIDENCIAL VARONES PONCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ADA MATOS (ADMINISTRATOR)
(787) 840-6835
Entity
Organization
Contact information
Practice address
HOSPITAL SAN LUCAS 2, PONCE, PR 00732
(787) 840-6835
Mailing address
PO BOX 21414, SAN JUAN, PR 00928-1414
(787) 840-6835
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
PR
Other
Enumeration date
04/25/2007
Last updated
08/07/2008
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