| NPI | 1346950672 |
|---|---|
| Former Legal Business Name | PONCE ADVANCE MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | JULIA ORTIZ RANGEL President 787-843-3089 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2022-11-28 |
| Last Update Date | 2023-06-22 |