NPI 1417176603
Centro Residencial Varones Ponce
Practice location
- Address
- Hospital San Lucas 2, Ponce, PR 00732
- Phone
- (787) 840-6835
- Mailing address
- PO Box 21414, San Juan, PR 00928-1414
Authorised official
- Name
- Ada Matos
- Title
- Administrator
- Phone
- (787) 840-6835
Registered specialties
Substance Abuse Rehabilitation Facility
Primary
Registry record
- NPI
- 1417176603
- Entity type
- Organization
- NPI issued
- 25 Apr 2007
- Record last updated
- 7 Aug 2008
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.