Healthcare Provider Details

I. General information

NPI: 1932769932
Provider Name (Legal Business Name): MSS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/20/2019
Last Update Date: 10/12/2023
Certification Date: 10/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR 198 KM 22.2 BO MONTONES
LAS PIEDRAS PR
00771-0001
US

IV. Provider business mailing address

46 HARBOUR LIGHT PALMAS DEL MAR
HUMACAO PR
00791-0001
US

V. Phone/Fax

Practice location:
  • Phone: 787-424-8441
  • Fax:
Mailing address:
  • Phone: 787-424-8441
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: DR. LUIS SANTINI
Title or Position: PRESIDENT
Credential: MD
Phone: 787-424-8441