NPI 1003110107

Pamg Selecto, INC

Organisation Primary Care Clinic/Center Ponce, PR

Practice location

Address: 1266 Ave Hostos Esq. Power, Ponce, PR 00717-0947
Phone: (787) 813-2325
Fax: (787) 841-3908

Authorised official

Name: Luis M Irizarry
Title: Administrator
Phone: (787) 813-2325

Registered specialties

Primary Care Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QP2300X Licence 07-B-2318 (PR)

Other Clinic/Center providers in Puerto Rico →

Registry record

NPI: 1003110107
Entity type: Organization
NPI issued: 4 Jan 2011
Record last updated: 4 Jan 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.