Healthcare Provider Details

I. General information

NPI: 1639679012
Provider Name (Legal Business Name): NRMD HEALTH PROVIDERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/13/2018
Last Update Date: 08/01/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1801 PONCE DE LEON SUITE 101-C SANTURCE MEDICAL MALL
SAN JUAN PR
00909
US

IV. Provider business mailing address

PO BOX 19237
SAN JUAN PR
00910-1237
US

V. Phone/Fax

Practice location:
  • Phone: 787-995-7098
  • Fax: 787-995-7140
Mailing address:
  • Phone: 787-995-7098
  • Fax: 787-995-7140

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number1370
License Number StatePR

VIII. Authorized Official

Name: MRS. MARIA E NARVAEZ RIVERA
Title or Position: OWNER
Credential: MD
Phone: 787-638-8410