| South Pearl Medical Corp | |
|
39 Calle Mayor Ponce PR 00730-3761 | |
| (787) 437-1601 | |
| Not Available |
| Full Name | South Pearl Medical Corp |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 39 Calle Mayor, Ponce, Puerto Rico |
| Authorized Official Name and Position | Sara Miranda (PRESIDENT) |
| Authorized Official Contact | 7879034999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Pearl Medical Corp 909 Ave Tito Castro Ste 714 Ponce PR 00716-4722 Ph: () - | South Pearl Medical Corp 39 Calle Mayor Ponce PR 00730-3761 Ph: (787) 437-1601 |
| NPI Number | 1801379052 |
|---|---|
| Provider Enumeration Date | 09/13/2018 |
| Last Update Date | 09/13/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801379052 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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