Organization
ANTONSANTI PHYSICIANS GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAINA I ANTONSANTI M.D (PRESIDENT)
(787) 613-9873
Entity
Organization
Contact information
Practice address
CARRETERA 132 KM 24.3, SUITE 101, PONCE, PR 00728
(787) 651-6876
(787) 651-6897
Mailing address
1820 CALLE COVADONGA, URB LA RAMBLA, PONCE, PR 00730-4077
(787) 613-9873
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
15805
PR
Other
Enumeration date
06/28/2016
Last updated
03/28/2019
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