Healthcare Provider Details

I. General information

NPI: 1689469736
Provider Name (Legal Business Name): STARPA MEDICAL SERVICE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/10/2025
Last Update Date: 04/10/2025
Certification Date: 04/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

JESUS T. PINERO BULDING FERNANDEZ JUNCOS AVENUE BO PUEBLO
CAROLINA PR
00985
US

IV. Provider business mailing address

VALLES DEL LAGO CALLE GUAJATACA 1069
CAGUAS PR
00725
US

V. Phone/Fax

Practice location:
  • Phone: 787-647-9641
  • Fax:
Mailing address:
  • Phone: 787-647-9641
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: PEDRO RIVERA CABALLERO
Title or Position: OWNER
Credential: MD
Phone: 787-647-9641