Healthcare Provider Details

I. General information

NPI: 1871602466
Provider Name (Legal Business Name): SERVICIOS MEDICOS DE AASCO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

BOX 1315 RINCON
RINCON PR
00677-1315
US

IV. Provider business mailing address

PO BOX 1315 RINCON
RINCON PR
00677-1315
US

V. Phone/Fax

Practice location:
  • Phone: 787-836-3075
  • Fax:
Mailing address:
  • Phone: 787-836-3075
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282NR1301X
TaxonomyRural Acute Care Hospital
License Number12567
License Number StatePR

VIII. Authorized Official

Name: DR. ERIC SANTIAGO
Title or Position: MD
Credential:
Phone: 787-836-3075