Healthcare Provider Details

I. General information

NPI: 1871421958
Provider Name (Legal Business Name): SKYMEDICAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1704 CALLE PARANA
SAN JUAN PR
00926-3160
US

IV. Provider business mailing address

35 CALLE JUAN C. BORBON SUITE 67-207
GUAYNABO PR
00969-5375
US

V. Phone/Fax

Practice location:
  • Phone: 787-810-1187
  • Fax:
Mailing address:
  • Phone: 787-646-6556
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: JESSICA BURGOS TORRES
Title or Position: PRESIDENT
Credential: MD
Phone: 787-646-6556