Healthcare Provider Details
I. General information
NPI: 1881507218
Provider Name (Legal Business Name): PLUSMED
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/25/2026
Last Update Date: 09/25/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
EDIFICIO MEDICO SANTA CRUZ #73 AVENIDA SANTA CRUZ OFICINA 403
BAYAMON PR
00961
US
IV. Provider business mailing address
330 CALLE REY FRANCISCO
GUAYNABO PR
00969-3254
US
V. Phone/Fax
- Phone: 787-502-0768
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JORGE
FERNANDO
VAZQUEZ
Title or Position: OWNER
Credential: M.D.
Phone: 787-643-6391