Healthcare Provider Details

I. General information

NPI: 1043477359
Provider Name (Legal Business Name): RHR MEDICAL PSC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2008
Last Update Date: 05/22/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CALLE FRANCISCO CRUZ HADDOCK NUM 5 URB FERNANDEZ
CIDRA PR
00739
US

IV. Provider business mailing address

PMB 659 NUM 138 AVE WINSTON CHURCHILL
SAN JUAN PR
00926
US

V. Phone/Fax

Practice location:
  • Phone: 787-614-5231
  • Fax: 787-273-1849
Mailing address:
  • Phone: 787-614-5231
  • Fax: 787-273-1849

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JUAN CARLOS RAMOS
Title or Position: PRESIDENT
Credential:
Phone: 787-614-5231