Healthcare Provider Details

I. General information

NPI: 1326326547
Provider Name (Legal Business Name): I.R NURSING SERVICE SOLUTIONS P.S.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2011
Last Update Date: 07/22/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

47 CALLE LAS VISTAS URB ALTA PAZ
GURABO PR
00778-5176
US

IV. Provider business mailing address

47 CALLE LAS VISTAS URB ALTA PAZ
GURABO PR
00778-5176
US

V. Phone/Fax

Practice location:
  • Phone: 787-382-3539
  • Fax: 787-745-0342
Mailing address:
  • Phone: 787-382-3539
  • Fax: 787-745-0342

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number6463
License Number StatePR

VIII. Authorized Official

Name: MRS. IRAIDA RUIZ
Title or Position: PRESIDENT
Credential: RN
Phone: 787-382-3539