Organization
PONTEZUELA GROUP PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES AYALA M.D. (PRESIDENTE)
(787) 964-7184
Entity
Organization
Contact information
Practice address
10 AVE. JOSE TONY SANTANA, EDIF 1 LOCAL C, CAROLINA, PR 00979
(787) 757-2347
Mailing address
PO BOX 38095, SAN JUAN, PR 00937-1095
(787) 757-2347
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
02/12/2015
Last updated
02/12/2015
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