Organization
PONCE SCHOOL OF MEDICINE PRACTICE GROUP
Active
Other names
PSM Practice Group
Organization subpart
No
Provider details
NPI number
Authorized official
HECTOR BURGOS (ADMINISTRATOR)
(787) 614-2972
Entity
Organization
Contact information
Practice address
ANN D PEREZ MARSHAND ST LOTE 2, URB INDUSTRIAL REPARADA, PONCE, PR 00732-7004
(787) 840-0052
(787) 284-3619
Mailing address
PO BOX 7004, PONCE SCHOOL OF MEDICINE PRACTICE GROUP, PONCE, PR 00732-7004
(787) 840-0052
(787) 840-2317
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
4650E
PR
Other
Enumeration date
09/26/2006
Last updated
08/28/2008
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