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NPI Code Detail

MEDICARE: PULMISERV PSC

MEDICARE: PULMISERV 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
1282E00000XLong Term Care HospitalPR

General Provider Information

NPI Number : 1770653750
Entity Type Code : Organization
Provider Name (Legal Business Name) : PULMISERV PSC
Provider Business Mailing Address
First Line : PMB 2116 PO BOX 6029
Second Line :
City : CAROLINA
State : PR
Zip : 00984-6029
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : JARDINES DE COUNTRY CLUB
Second Line : 165 DA 4
City : CAROLINA
State : PR
Zip : 00983-0000
Country : US
Telephone Number : 787-787-5151
Fax Number :
Authorized Official
Title or Position : DIRECTOR OF PULMONARY THERAPIST
Name : MS. LEIDE AILED ACEVEDO
Credential : RESPIRATORY THERAPIS
Telephone Number : 787-787-5151
Provider Enumeration Date : 11/08/2006
Last Update Date : 08/22/2020

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