Healthcare Provider Details
I. General information
NPI: 1992149124
Provider Name (Legal Business Name): SALINAS FAMILY MEDICAL SERVICES, P.S.C.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/18/2013
Last Update Date: 04/18/2013
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
16 CALLE RAFAEL OCASIO
SALINAS PR
00751-3240
US
IV. Provider business mailing address
PO BOX 700
SALINAS PR
00751-0700
US
V. Phone/Fax
- Phone: 787-824-1934
- Fax: 787-824-2880
- Phone: 787-824-1934
- Fax: 787-824-2880
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208D00000X |
| Taxonomy | General Practice Physician |
| License Number | 10338 |
| License Number State | PR |
VII. Legacy identifiers
For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:
VIII. Authorized Official
Name: MR.
JORGE
L
TORRES MARTINEZ
Title or Position: PRESIDENTE
Credential: M.D.
Phone: 787-824-1934