Healthcare Provider Details

I. General information

NPI: 1598375644
Provider Name (Legal Business Name): HEALTH PREVENTIVE AND EMERGENCY SERVICES PSC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2020
Last Update Date: 08/04/2020
Certification Date: 08/04/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

OFIC 105 207 CALLE MANUEL DOMENECH
SAN JUAN PR
00918-0091
US

IV. Provider business mailing address

PO BOX 622
BAYAMON PR
00960-0622
US

V. Phone/Fax

Practice location:
  • Phone: 787-310-4523
  • Fax:
Mailing address:
  • Phone: 787-310-4523
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207PE0004X
TaxonomyEmergency Medical Services (Emergency Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ALEJANDRO CABRERA
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 787-310-4523