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Contact Information

PONCE DE LEON MEDICAL DIAGNOSTIC
CALLE BROMELIA 8 PARQUE DE BUCAREST
GUAYNABO, PR00969-0000
 Phone: 787-753-4648
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physiological Laboratory, (Independent Physiological Lab)

293D00000X 47 Independent Diagnostic Testing Facility (IDTF)
Indicates primary specialty

NPI Profile & details for PONCE DE LEON MEDICAL DIAGNOSTIC

NPI Number 1659659654
LBN Legal business name PONCE DE LEON MEDICAL DIAGNOSTIC
Authorized official ROBERTO RODRIGUEZ - (DOCTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 07/26/2011
Last updated 07/26/2011 - About 15 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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