Healthcare Provider Details

I. General information

NPI: 1891467429
Provider Name (Legal Business Name): SERVICIOS HOSPITALISTAS SAN CARLOS BORROMEO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2021
Last Update Date: 12/24/2025
Certification Date: 12/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 CALLE CONCEPCION VERA
MOCA PR
00676-5005
US

IV. Provider business mailing address

CONCEPCION VERA NUM. 550 S
MOCA PR
00676-0068
US

V. Phone/Fax

Practice location:
  • Phone: 787-877-8000
  • Fax:
Mailing address:
  • Phone: 787-877-4220
  • Fax: 787-877-7350

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number
License Number State

VIII. Authorized Official

Name: MARIA DE JESUS MARTINEZ
Title or Position: FINANCE DIRECTOR
Credential: BBA
Phone: 787-877-4220