Healthcare Provider Details

I. General information

NPI: 1518550508
Provider Name (Legal Business Name): PUNTO SALUD MEDICAL SERVICES, LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/19/2021
Last Update Date: 02/19/2021
Certification Date: 02/19/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 CALLE SATURNINO RODRIGUEZ
YABUCOA PR
00767-3517
US

IV. Provider business mailing address

PO BOX 1945
JUNCOS PR
00777-1945
US

V. Phone/Fax

Practice location:
  • Phone: 787-893-3411
  • Fax:
Mailing address:
  • Phone: 787-991-5031
  • Fax: 787-991-5032

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. MANUEL JOSE ORTIZ BUSTILLO
Title or Position: PRESIDENT
Credential: DOCTOR OF MEDICINE
Phone: 787-991-5031