MEDICARE: MEDICAL SERVICES SOLUTIONS LE CSP

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	302R00000X	Health Maintenance Organization	16807	PR

General Provider Information

NPI Number	:	1972806966
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDICAL SERVICES SOLUTIONS LE CSP

Provider Business Mailing Address
First Line	:	PO BOX 2055
Second Line	:
City	:	SALINAS
State	:	PR
Zip	:	00751-2001
Country	:	US
Telephone Number	:	787-669-5899
Fax Number	:	787-845-0458

Provider Business Practice Location Address
First Line	:	CALLE CARACOL C8
Second Line	:	URB VALLE COSTERO
City	:	SANTA ISABEL
State	:	PR
Zip	:	00757-0000
Country	:	US
Telephone Number	:	787-669-5899
Fax Number	:	787-845-0458

Authorized Official
Title or Position	:	MEDICO GENERALISTA
Name	:	DR. LAURA ZAMBRANA MORALES
Credential	:	MD
Telephone Number	:	787-605-1221

Provider Enumeration Date	:	12/13/2010
Last Update Date	:	12/13/2010

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