Healthcare Provider Details

I. General information

NPI: 1114090727
Provider Name (Legal Business Name): CLINICAL MEDICAL SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/15/2006
Last Update Date: 03/28/2023
Certification Date: 03/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20055 CALLE JOSE S QUINONES
CAROLINA PR
00985-5600
US

IV. Provider business mailing address

PO BOX 3569
CAROLINA PR
00984-3569
US

V. Phone/Fax

Practice location:
  • Phone: 787-620-2900
  • Fax: 787-474-2800
Mailing address:
  • Phone: 787-620-2900
  • Fax: 787-625-3227

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number17-F-3127
License Number StatePR

VIII. Authorized Official

Name: LINDA J. MENDEZ
Title or Position: COO
Credential:
Phone: 787-620-2900