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Organization

HOSPITAL DAMAS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ENRIQUE A VICENS JR. MHSA (ADMINISTRADOR & COO)
(787) 840-2395
Entity
Organization

Contact information

Practice address
2213 PONCE BY PASS, PONCE, PR 00717-1318
(878) 840-8686
(787) 259-7364
Mailing address
286 CALLE MONTERREY, PONCE, PR 00716-0377
(787) 840-8686
(787) 259-7364

Taxonomy

Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
PR

Other

Enumeration date
06/30/2006
Last updated
08/22/2020
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