Healthcare Provider Details

I. General information

NPI: 1366727786
Provider Name (Legal Business Name): MKR HEALTH SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2011
Last Update Date: 10/17/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2053 AVE PEDRO ALBIZU CAMPOS STE 2 PMB 329
AGUADILLA PR
00603-5950
US

IV. Provider business mailing address

2053 AVE PEDRO ALBIZU CAMPOS STE 2 PMB 329
AGUADILLA PR
00603-5950
US

V. Phone/Fax

Practice location:
  • Phone: 787-224-0841
  • Fax:
Mailing address:
  • Phone: 787-224-0841
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207PE0004X
TaxonomyEmergency Medical Services (Emergency Medicine) Physician
License Number16688
License Number StatePR
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number16688
License Number StatePR

VIII. Authorized Official

Name: DR. FERNANDO RAMOS LANDING
Title or Position: PRESIDENT
Credential: MD
Phone: 787-224-0841