Organization
PONCE ORTHOPAEDIC TRAUMA INSTITUTE PSC
Active
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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