1295039410 NPI number — SERVICIOS MEDICOS UNIVERSITARIOS

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1295039410 NPI number — SERVICIOS MEDICOS UNIVERSITARIOS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SERVICIOS MEDICOS UNIVERSITARIOS
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1295039410
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/03/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
CARR. 595 BO. AMUELAS #115
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
JUANA DIAZ
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00795
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-837-6574
Provider Business Mailing Address Fax Number:
787-837-1740

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
CARR. 592 KM 5.6
Provider Second Line Business Practice Location Address:
BO. AMUELAS #115
Provider Business Practice Location Address City Name:
JUANA DIAZ
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00795
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-837-6574
Provider Business Practice Location Address Fax Number:
787-837-1740
Provider Enumeration Date:
01/03/2011

Additional Information

Authorized Official

Authorized Official Last Name:
TORRES
Authorized Official First Name:
MARIA
Authorized Official Middle Name:
MERCEDES
Authorized Official Title or Position:
ADMINISTRATOR
Authorized Official Telephone Number:
787-837-6574

Provider Taxonomy Codes

  • Taxonomy code: 314000000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com