NPI 1811460017
Southern Dermatology Psc
Practice location
- Address
- Parra Medical Plaza 2225 Ponce Byp STE 403, Ponce, PR 00717-1322
- Phone
- (787) 259-3391
Authorised official
- Name
- Diana Alvarado
- Title
- Facturadora
- Phone
- (787) 318-5550
Registered specialties
Dermatology Physician
Primary
Registry record
- NPI
- 1811460017
- Entity type
- Organization
- NPI issued
- 10 Jan 2019
- Record last updated
- 10 Jan 2019
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.