CENTRO RESIDENCIAL VARONES PONCE; NPI #1417176603

Contact Information

CENTRO RESIDENCIAL VARONES PONCE

HOSPITAL SAN LUCAS 2
PONCE, PR 00732

Phone: 787-840-6835
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Substance Abuse Disorder Rehabilitation Facility	324500000X

Indicates primary specialty

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NPI Profile & details for CENTRO RESIDENCIAL VARONES PONCE

NPI #	`1417176603`
LBN Legal business name	CENTRO RESIDENCIAL VARONES PONCE
Authorized official	ADA MATOS - (ADMINISTRATOR)
Entity	Organization
Organization subpart ¹	No
Enumeration date	04/25/2007
Last updated	08/07/2008 - About 18 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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