Healthcare Provider Details

I. General information

NPI: 1578032538
Provider Name (Legal Business Name): UNLIMITED MEDICAL SYSTEMS OF PUERTO RICO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/20/2018
Last Update Date: 11/20/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PALACIOS DEL RIO 2 833 ROSARIO G-10
TOA ALTA PR
00953-5129
US

IV. Provider business mailing address

PALACIOS DEL RIO 2 833 ROSARIO G-10
TOA ALTA PR
00953-5129
US

V. Phone/Fax

Practice location:
  • Phone: 787-376-7958
  • Fax: 787-763-5080
Mailing address:
  • Phone: 787-376-7958
  • Fax: 787-763-5080

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: MR. CESAR A SANTOS
Title or Position: PRESIDENT
Credential:
Phone: 787-376-7958