| NPI | 1083977920 |
|---|---|
| Former Legal Business Name | CKD -PONCE |
| Entity Type | Organization |
| Authorized Contact | ROSARIO ORTIZ Primary Nurse 787-710-2532 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: PR 1041C0700X) |
| Enumeration Date | 2012-06-15 |
| Last Update Date | 2012-06-15 |