Southern Retina Consultants Psc

NPI 1154314292 - Ophthalmology - 207W00000X

NPI Details
NPI 1154314292
Enumeration Date 08/24/2005
Last Updated 03/25/2009
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name JORGE H JORGE
Position PRESIDENT
Phone (787) 842-2512
Fax (787) 840-6966
Practice Location
909 AVE TITO CASTRO
SUITE 709
PONCE PR, 00716-4728, US
Phone (787) 842-2512
Fax (787) 840-6966
Business Location
PO BOX 801089
COTO LAUREL PR, 00780-1089, US
Phone (787) 842-2512
Fax (787) 840-6966
Toxanomy
Taxonomy Code 207W00000X
License State Puerto Rico
License Number 11622
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According to our database, Southern Retina Consultants Psc NPI is 1154314292, taxonomy code is 207W00000X and license number is 11622, license state is located at Puerto Rico. Southern Retina Consultants Psc physically located at 909 Ave Tito Castro, Ponce PR, 00716-4728. NPI Number 1033115704 has the healthcare provider type.

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1154314292 NPI number is provided on an as is basis without warranty of any kind. 1154314292 is maintained by the National Plan & Provider Enumeration System. The contents of Southern Retina Consultants Psc are for informational purposes only.