Organization
POLICLINICAS DE PONCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EFRAIN GONZALEZ-DYOZ MD (MEDICO PRESIDENTE)
(787) 812-3193
Entity
Organization
Contact information
Practice address
261 PMB 7105, MORELL CAMPOS, PONCE, PR 00732-7105
(787) 812-3193
Mailing address
261 PMB 7105, MORELL CAMPOS, PONCE, PR 00732-7105
(787) 812-3193
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10515
CENTRO VACUNACION
PR
Enumeration date
04/24/2007
Last updated
07/07/2008
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