Healthcare Provider Details

I. General information

NPI: 1467891663
Provider Name (Legal Business Name): PMR GROUP INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/20/2013
Last Update Date: 06/20/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

268 AVE PONCE DE LEON STE 705
SAN JUAN PR
00918-2028
US

IV. Provider business mailing address

268 AVE PONCE DE LEON STE 705
SAN JUAN PR
00918-2028
US

V. Phone/Fax

Practice location:
  • Phone: 939-292-2660
  • Fax:
Mailing address:
  • Phone: 939-292-2660
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number StateFL

VIII. Authorized Official

Name: PATRICIA E MORALES
Title or Position: PRESIDENT
Credential:
Phone: 939-292-2660