NPI 1285979633

Clinica de Medicina Primaria del Sur.Csp

Organisation Health Maintenance Organization Ponce, PR

Practice location

Address: Carr 132, Km 24.3 No. 8 Canas, Ponce, PR 00728
Phone: (787) 284-6934
Mailing address: 442,calle Hnos Schmidt Est del Golf Club, Ponce, PR 00730

Authorised official

Name: Sonia a Jose
Title: Resident Agent
Phone: (787) 284-6934

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence 11906 (PR)

Other Health Maintenance Organization providers in Puerto Rico →

Registry record

NPI: 1285979633
Entity type: Organization
NPI issued: 11 Dec 2012
Record last updated: 11 Dec 2012

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.