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1023396231
PONCE ADVANCE MEDICAL GROUP NETWORK, CORP.
PONCE, PR
NPI
1023396231
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Entity Type
Organization
Authorized Contact
LUIS M IRIZARRY PABON
President
787-813-2325
Organization Subpart ?
No
Primary Taxonomy
261QP2300X Clinic/Center, Primary Care
Enumeration Date
2011-07-22
Last Update Date
2011-07-22
Business Address
PONCE ADVANCE MEDICAL GROUP NETWORK, CORP.
PMB 282 1575 MUNOZ RIVERA AVE.
PONCE, PR 00717
Phone number: 787-813-2325
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Mailing Address
PONCE ADVANCE MEDICAL GROUP NETWORK, CORP.
1266 AVE HOSTOS ESQUINA POWER
PONCE, PR 00717-0947
Phone number: 787-813-2325
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