Organization
POLICLINICAS DE PONCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EFRAIN GONZALEZ DROZ MD (PRESIDENTE)
(787) 812-3153
Entity
Organization
Contact information
Practice address
PMB 261 APTDO 7105, PMB 261 APTDO 7105, PONCE, PR 00732-7105
(787) 812-3193
Mailing address
GLENVIEW GARDENS SHOPPING CENTER, 4 LOCAL, PONCE, PR 00731
(787) 812-3153
Taxonomy
Speciality
Code
Description
License number
State
261QV0200X
VA Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10512
CENTRO VACUNACION GLENVIE
PR
Enumeration date
03/20/2007
Last updated
08/22/2020
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