Healthcare Provider Details

I. General information

NPI: 1477571412
Provider Name (Legal Business Name): SERVICIOS MEDICOS DE ANASCO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/18/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARRETERA 402 KILOMETRO 2 BARRIO MARIAS
ANASCO PR
00610-0000
US

IV. Provider business mailing address

PO BOX 2002
ANASCO PR
00610-3000
US

V. Phone/Fax

Practice location:
  • Phone: 787-826-8082
  • Fax: 787-826-8082
Mailing address:
  • Phone: 787-826-8082
  • Fax: 787-826-8082

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. FRANCISCO J MORALES
Title or Position: PRESIDENTE
Credential: M.D.
Phone: 787-826-8082