MEDICARE: HEALTH PREVENTIVE AND EMERGENCY SERVICES PSC

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	207PE0004X	Emergency Medical Services (Emergency Medicine) Physician

General Provider Information

NPI Number	:	1598375644
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTH PREVENTIVE AND EMERGENCY SERVICES PSC

Provider Business Mailing Address
First Line	:	PO BOX 622
Second Line	:
City	:	BAYAMON
State	:	PR
Zip	:	00960-0622
Country	:	US
Telephone Number	:	787-310-4523
Fax Number	:

Provider Business Practice Location Address
First Line	:	OFIC 105 207 CALLE MANUEL DOMENECH
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00918-0091
Country	:	US
Telephone Number	:	787-310-4523
Fax Number	:

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	DR. ALEJANDRO CABRERA
Credential	:	MD
Telephone Number	:	787-310-4523

Provider Enumeration Date	:	08/04/2020
Last Update Date	:	08/04/2020

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