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Organization

PAMG INDEPENDENT PRACTICE NETWORK CORP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CARLOS A GONZALEZ M.D. (PRESIDENT)
(787) 813-2324
Entity
Organization

Contact information

Practice address
AVE. HOSTOS ESQUINA POWER NUM. 1266, PONCE, PR 00731
(787) 813-2324
(787) 841-3908
Mailing address
PMB 282, 1575 MUNOZ RIVERA AVE., PONCE, PR 00717
(787) 813-2324
(787) 841-3908

Taxonomy

Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary

Other

Enumeration date
04/11/2008
Last updated
04/11/2008
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