Organization
PONCE DE LEON MEDICAL DIAGNOSTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERTO RODRIGUEZ (DOCTOR)
(787) 753-4648
Entity
Organization
Contact information
Practice address
CALLE BROMELIA 8 PARQUE DE BUCAREST, GUAYNABO, PR 00969-0000
(787) 753-4648
Mailing address
456 TENIENTE CESAR GONZALEZ, SAN JUAN, PR 00918-0000
(787) 753-4648
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
PR
Other
Enumeration date
07/26/2011
Last updated
07/26/2011
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