SOUTH PRIME OB-GYN LLC

PONCE, PR
NPI1023664042
Former Legal Business NameSOUTH PRIME OB-GYN
Entity TypeOrganization
Authorized ContactLENNY G PAGAN
President
787-633-9260
Organization Subpart ?No
Primary Taxonomy207VX0000X Obstetrics & Gynecology, Obstetrics
Enumeration Date2019-08-15
Last Update Date2019-08-15
Business Address
SOUTH PRIME OB-GYN LLC
HOSPITAL DAMAS 2213 PONCE BYPASS
PONCE, PR 00717
Phone number: 787-633-9260
Mailing Address
SOUTH PRIME OB-GYN LLC
1124 AVE MUNOZ RIVERA
PONCE, PR 00717-0643
Phone number: 787-633-9260