Organization
PONCE ORTHOPAEDIC TRAUMA INSTITUTE PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL JOHN SERRA TORRES MD (OWNER)
(718) 710-6342
Entity
Organization
Contact information
Practice address
2225 PONCE BY PASS, EDIFICIO PARRA OFICE 805, PONCE, PR 00717-1321
(718) 710-6342
Mailing address
URB. TERRA SENORIAL, 141 CASTANIA, PONCE, PR 00731
(718) 710-6342
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
17144
PR
207XX0801X
Orthopaedic Trauma Physician
Primary
17144
PR
Other
Enumeration date
09/19/2008
Last updated
04/16/2009
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