| NPI | 1477865681 |
|---|---|
| Former Legal Business Name | PONCE PREVENTIVE CARE LLC |
| Entity Type | Organization |
| Authorized Contact | ROSA FIGUEROA Practice Administrator 404-537-2521 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: GA 054263) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2010-07-06 |
| Last Update Date | 2024-05-06 |