Healthcare Provider Details

I. General information

NPI: 1043717077
Provider Name (Legal Business Name): HOSPITALIST MEDICAL SERVICES, PSC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/06/2018
Last Update Date: 09/18/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR. # 2 KM 47.7
MANATI PR
00674-8513
US

IV. Provider business mailing address

PO BOX 30532
MANATI PR
00674-8513
US

V. Phone/Fax

Practice location:
  • Phone: 787-854-3322
  • Fax: 787-884-0178
Mailing address:
  • Phone: 787-854-3322
  • Fax: 787-884-0178

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: VICENTE ORTIZ
Title or Position: CONTRACTING DIRECTOR
Credential:
Phone: 787-854-3322