Organization
FEMALE CONSULTANTS OF PUERTO RICO,CSP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JEANNETTE GRACIA (ADMINISTRATOR)
(787) 848-8214
Entity
Organization
Contact information
Practice address
1113 AVE MUNOZ RIVERA, PONCE, PR 00717-0635
(787) 848-8214
(787) 290-8217
Mailing address
PO BOX 10419, PONCE, PR 00732-0419
(787) 848-8214
(787) 290-8217
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
062285
LA CRUZ AZUL DE PR
PR
01
—
PE4477
PAN AMERICAN LIFE
PR
Enumeration date
08/17/2006
Last updated
11/05/2012
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