Healthcare Provider Details

I. General information

NPI: 1649248055
Provider Name (Legal Business Name): RPS MEDICAL SERVICES CORP.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/10/2006
Last Update Date: 04/13/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR 670 KM 1.7 VILLA BEATRIZ 200 SUITE 1
MANATI PR
00674-3050
US

IV. Provider business mailing address

PMB 289 PO BOX 30500
MANATI PR
00674-3050
US

V. Phone/Fax

Practice location:
  • Phone: 787-854-1479
  • Fax: 787-854-1124
Mailing address:
  • Phone: 787-854-1479
  • Fax: 787-854-1124

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
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: MR. MELVIN VEGA
Title or Position: PRESIDENT OWNER
Credential:
Phone: 787-854-1479