1518550508 NPI number — PUNTO SALUD MEDICAL SERVICES, LLC.

Table of content: CASSANDRA RENEE EDNA PITCHER MD (NPI 1932761012)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1518550508 NPI number — PUNTO SALUD MEDICAL SERVICES, LLC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PUNTO SALUD MEDICAL SERVICES, LLC.
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:
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:
1518550508
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/19/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 1945
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
JUNCOS
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00777-1945
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-991-5031
Provider Business Mailing Address Fax Number:
787-991-5032

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8 CALLE SATURNINO RODRIGUEZ
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
YABUCOA
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00767-3517
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-893-3411
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/19/2021

Additional Information

Authorized Official

Authorized Official Last Name:
ORTIZ BUSTILLO
Authorized Official First Name:
MANUEL
Authorized Official Middle Name:
JOSE
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
787-991-5031

Provider Taxonomy Codes

  • Taxonomy code: 261Q00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 208D00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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