Healthcare Provider Details

I. General information

NPI: 1760455109
Provider Name (Legal Business Name): ADMINISTRACION DE SERVICIOS MEDICOS DE PUERTO RICO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/08/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

BO MONACILLOS CARR NO 22 RIO PIEDRAS
SAN JUAN PR
00922-2129
US

IV. Provider business mailing address

PO BOX 2129
SAN JUAN PR
00922-2129
US

V. Phone/Fax

Practice location:
  • Phone: 787-777-3535
  • Fax: 787-777-3481
Mailing address:
  • Phone: 787-777-3535
  • Fax: 787-777-3481

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License Number
License Number StatePR

VIII. Authorized Official

Name: DR. ANA RIUS ARMENDARIS
Title or Position: EXECUTIVE DIRECTOR
Credential: M.D.
Phone: 787-777-3483