| NPI | 1407957434 |
|---|---|
| Doing Business As | PONCE DE LEON DIAGNOSTIC SERVICES LTD |
| Entity Type | Organization |
| Authorized Contact | WILFRED BRACERAS President 305-863-8860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0206X Clinic/Center, Radiology, Mammography |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2020-10-22 |