PONCE OPC (571)    INSTITUTION (4)

Name Value
NAME PONCE OPC
STATE PUERTO RICO
STREET ADDR. 1 PASEO DEL VETERANO #1010
CITY PONCE
ZIP 00716-2001
OFFICIAL VA NAME PONCE OUTPATIENT CLINIC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME PONCE VA CBOC
ST. ADDR. 1 (MAILING) PASEO DEL VETERANO #1010
CITY (MAILING) PONCE
STATE (MAILING) PUERTO RICO
ZIP (MAILING) 00716-2001
EFFECTIVE DATE/TIME
  • 2007-01-08 00:00:00
    STATUS:   ACTIVE
    NPI:   1356380786
TAXONOMY CODE
LOCATION TIMEZONE ATLANTIC
COUNTRY USA
TIMEZONE EXCEPTION SST Only
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 672B0
IDENTIFIER
  • CODING SYSTEM:   NPI
    ID:   1356380786
  • CODING SYSTEM:   VASTANUM
    ID:   672B0