Healthcare Provider Details

I. General information

NPI: 1922929348
Provider Name (Legal Business Name): MSS OF HUMACAO INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

147 CALLE SERGIO PENA ALMODOVAR #163
HUMACAO PR
00791-4288
US

IV. Provider business mailing address

46 HARBOUR LIGHTS DR PALMAS DEL MAR
HUMACAO PR
00791-6053
US

V. Phone/Fax

Practice location:
  • Phone: 787-852-0665
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: LUIS E SANTINI
Title or Position: PRESIDENT
Credential: MD
Phone: 787-998-8170