MEDICARE: PATIENT MEDICAL SERVICES (PMS) INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	57580	OTHER	PR	MEDICARE OPTIMO-TRIPLE S
4	2394	OTHER	PR	AMERICAN HEALTH MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	DME069	OTHER	PR	PREFERRED HEALTH
3	9501124	OTHER	PR	LA CRUZ AZUL

General Provider Information

NPI Number	:	1366581969
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PATIENT MEDICAL SERVICES (PMS) INC.

Provider Business Mailing Address
First Line	:	3409 AVE ISLA VERDE APT 401
Second Line	:	3204 AVENIDA ISLA VERDE
City	:	CAROLINA
State	:	PR
Zip	:	00979-4911
Country	:	US
Telephone Number	:	787-608-2288
Fax Number	:

Provider Business Practice Location Address
First Line	:	CALLE TAPIA 516 NO.2
Second Line	:
City	:	SANTURCE
State	:	PR
Zip	:	00915
Country	:	US
Telephone Number	:	787-608-2288
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MS. OLGA ELENA RODRIGUEZ
Credential	:
Telephone Number	:	787-608-2288

Provider Enumeration Date	:	02/06/2007
Last Update Date	:	08/22/2020

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Directions to “PATIENT MEDICAL SERVICES (PMS) INC. ” Practice Location

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