| 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
-
- CODING SYSTEM: CLIA
- ID: 40D0987712
|
