Organization
ECB PONCE CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAFAEL SANTOS MD (CEO)
(787) 812-4444
Entity
Organization
Contact information
Practice address
83 CALLE UNION, SUITE 129, PONCE, PR 00730-3686
(787) 812-4444
Mailing address
83 CALLE UNION, SUITE 129, PONCE, PR 00730-3686
(787) 812-4444
(787) 813-0843
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
276
PR
Other
Enumeration date
09/12/2016
Last updated
09/12/2016
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