Organization
SOUTHERN DERMATOLOGY PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA ALVARADO (FACTURADORA)
(787) 318-5550
Entity
Organization
Contact information
Practice address
PARRA MEDICAL PLAZA, 2225 PONCE BYP STE 403, PONCE, PR 00717-1322
(787) 259-3391
Mailing address
PARRA MEDICAL PLAZA, 2225 PONCE BYP STE 403, PONCE, PR 00717-1322
(787) 259-3391
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
01/10/2019
Last updated
01/10/2019
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