NPI 1659659654

Ponce de Leon Medical Diagnostic

Organisation Physiological Laboratory Guaynabo, PR

Practice location

Address: Calle Bromelia 8 Parque de Bucarest, Guaynabo, PR 00969-0000
Phone: (787) 753-4648
Mailing address: 456 Teniente Cesar Gonzalez, San Juan, PR 00918-0000

Authorised official

Name: Roberto Rodriguez
Title: Doctor
Phone: (787) 753-4648

Registered specialties

Physiological Laboratory Primary

Laboratories Taxonomy 293D00000X

Other Physiological Laboratory providers in Puerto Rico →

Registry record

NPI: 1659659654
Entity type: Organization
NPI issued: 26 Jul 2011
Record last updated: 26 Jul 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.