Healthcare Provider Details

I. General information

NPI: 1194372300
Provider Name (Legal Business Name): CORPORACION DE SERVICIOS MEDICOS PRIMARIOS Y PREVENCION DE HATILLO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2019
Last Update Date: 06/23/2025
Certification Date: 06/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

78 CALLE DR CUETO
UTUADO PR
00641-0065
US

IV. Provider business mailing address

PO BOX 907
HATILLO PR
00659-0907
US

V. Phone/Fax

Practice location:
  • Phone: 787-680-2019
  • Fax: 787-262-3984
Mailing address:
  • Phone: 787-898-4190
  • Fax: 787-262-3984

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: LORENA TORRES
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 787-898-4190