Healthcare Provider Details

I. General information

NPI: 1225441629
Provider Name (Legal Business Name): CLINICAL MEDICAL SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2014
Last Update Date: 09/07/2022
Certification Date: 09/07/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

240 SABANETAS IND PK
PONCE PR
00716-4401
US

IV. Provider business mailing address

PO BOX 3569
CAROLINA PR
00984-3569
US

V. Phone/Fax

Practice location:
  • Phone: 787-620-2900
  • Fax:
Mailing address:
  • Phone: 787-620-2900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MRS. LINDA J. MENDEZ
Title or Position: CHIEF OPERATIONAL OFFICER
Credential:
Phone: 787-620-2900