Healthcare Provider Details

I. General information

NPI: 1104720176
Provider Name (Legal Business Name): SMR MEDICAL CARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

345 CALLE DR RAMON E BETANCES S STE 108
MAYAGUEZ PR
00680-2369
US

IV. Provider business mailing address

345 CALLE DR RAMON E BETANCES S STE 108
MAYAGUEZ PR
00680-2369
US

V. Phone/Fax

Practice location:
  • Phone: 939-320-9011
  • Fax: 787-476-1594
Mailing address:
  • Phone: 939-320-9011
  • Fax: 787-476-1594

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number StateNULL

VIII. Authorized Official

Name: MR. MANUEL J CRUZ
Title or Position: ADMINISTRATION MEMBER
Credential: RN
Phone: 939-320-9011