NPI 1154314292

Southern Retina Consultants Psc

Organisation Ophthalmology Physician Ponce, PR

Practice location

Address: 909 Ave Tito Castro Suite 709, Ponce, PR 00716-4728
Phone: (787) 842-2512
Fax: (787) 840-6966
Mailing address: PO Box 801089, Coto Laurel, PR 00780-1089

Authorised official

Name: Jorge H Gutierrez-Dorrington
Title: President
Phone: (787) 842-2512

Registered specialties

Ophthalmology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207W00000X Licence 11622 (PR)

Other Ophthalmology providers in Puerto Rico →

Registry record

NPI: 1154314292
Entity type: Organization
NPI issued: 24 Aug 2005
Record last updated: 25 Mar 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.