MEDICARE: DRX LLC

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	246X00000X	Cardiovascular Specialist/Technologist

General Provider Information

NPI Number	:	1538690904
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DRX LLC

Provider Business Mailing Address
First Line	:	PO BOX 8419
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00910-0419
Country	:	US
Telephone Number	:	787-296-8880
Fax Number	:

Provider Business Practice Location Address
First Line	:	1501 AVE FERNANDEZ JUNCOS STE 101
Second Line	:	EDIFICIO BETANCOURT
City	:	SAN JUAN
State	:	PR
Zip	:	00909-2761
Country	:	US
Telephone Number	:	787-296-8880
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ASDRIEL MENDEZ
Credential	:
Telephone Number	:	787-296-8880

Provider Enumeration Date	:	03/27/2017
Last Update Date	:	03/27/2017

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Directions to “DRX LLC ” Practice Location

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