Healthcare Provider Details

I. General information

NPI: 1043338122
Provider Name (Legal Business Name): OCCUPATIONAL & AESTHETIC MEDICINE SERVICES, CSP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR 31 JUNCOS PLAZA LOCAL D-2
JUNCOS PR
00777
US

IV. Provider business mailing address

PO BOX 1221
JUNCOS PR
00777-1221
US

V. Phone/Fax

Practice location:
  • Phone: 787-713-6505
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. EMMANUEL SANTOS
Title or Position: PRESIDENT
Credential: MD
Phone: 787-713-6505