Organization
PONCE NEUROLOGICAL CONSULTANTS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICARDO VILLALOBOS M.D. (PRESIDENT)
(787) 648-8115
Entity
Organization
Contact information
Practice address
909 AVE TITO CASTRO, SUITE 804, PONCE, PR 00716-4725
(787) 648-8115
(787) 651-1498
Mailing address
909 AVE TITO CASTRO, SUITE 804, PONCE, PR 00716-4725
(787) 648-8115
(787) 651-1498
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
16476
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
195703
DEPARTAMENTO DE ESTADO
PR
Enumeration date
09/10/2010
Last updated
09/10/2010
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