Healthcare Provider Details

I. General information

NPI: 1679917819
Provider Name (Legal Business Name): RS MEDICAL SERVICE CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/18/2013
Last Update Date: 10/02/2025
Certification Date: 10/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR 132 KM 22.1 BO CANAS PLAZA GABRIELA
PONCE PR
00728
US

IV. Provider business mailing address

PO BOX 664
MERCEDITA PR
00715-0664
US

V. Phone/Fax

Practice location:
  • Phone: 787-812-3939
  • Fax: 787-812-3931
Mailing address:
  • Phone: 787-812-3939
  • Fax: 787-812-3931

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number1117
License Number StatePR

VIII. Authorized Official

Name: DR. JESUS WALDEMAR RODRIGUEZ
Title or Position: PRESIDENTE
Credential: M.D.
Phone: 787-812-3939