Healthcare Provider Details

I. General information

NPI: 1740013952
Provider Name (Legal Business Name): OPTIMAL MEDICAL SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2024
Last Update Date: 08/22/2024
Certification Date: 08/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 CALLE SANTA ROSA
SAN JUAN PR
00926-5403
US

IV. Provider business mailing address

1 CALLE SANTA ROSA
SAN JUAN PR
00926-5403
US

V. Phone/Fax

Practice location:
  • Phone: 787-766-0075
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. CARLOS J PLACER LARRAURI
Title or Position: PRESIDENT
Credential: MD
Phone: 407-267-4385