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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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