NPI 1124252101

Pamg Independent Practice Network Corp.

Organisation Preferred Provider Organization Ponce, PR

Practice location

Address: 1266 Ave. Hostos Esq. Power, Ponce, PR 00731
Phone: (787) 813-2324
Fax: (787) 841-3908
Mailing address: Pmb 282 1575 Munoz Rivera Ave., Ponce, PR 00717

Authorised official

Name: Carlos Alberto Gonzalez Berdecia
Title: President
Phone: (787) 813-2324

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X

Other Preferred Provider Organization providers in Puerto Rico →

Registry record

NPI: 1124252101
Entity type: Organization
NPI issued: 6 May 2009
Record last updated: 6 May 2009

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.