Healthcare Provider Details

I. General information

NPI: 1659870640
Provider Name (Legal Business Name): CARIBBEAN STEWARDSHIP & INFUSION SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/06/2018
Last Update Date: 02/06/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2053 PONCE BY PASS CENTRO CARIBE BLDG. SUITE 205
PONCE PR
00717
US

IV. Provider business mailing address

PO BOX 712
MERCEDITA PR
00715-0712
US

V. Phone/Fax

Practice location:
  • Phone: 787-987-8050
  • Fax: 787-987-8050
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QI0500X
TaxonomyInfusion Therapy Clinic/Center
License Number167798
License Number StatePR

VIII. Authorized Official

Name: DR. LUIS JORGE LUGO VELEZ
Title or Position: PRESIDENT
Credential: MD
Phone: 787-688-7327