Individual
DR. PAOLO RENE BANUCHI PONCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
HOSPITAL DE LA CONCEPCION, PR-2 KM 173,, SAN GERMAN, PR 00683
(787) 428-6250
Mailing address
PO BOX 464, ISABELA, PR 00662-0464
(787) 428-6250
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
24517
PR
Other
Enumeration date
12/05/2023
Last updated
12/24/2025
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