Healthcare Provider Details

I. General information

NPI: 1215301072
Provider Name (Legal Business Name): RELIABLE HEALTH SERVICES, CORP.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/17/2015
Last Update Date: 11/17/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 CALLE SATURNINO RODRIGUEZ
YABUCOA PR
00767-3916
US

IV. Provider business mailing address

PO BOX 70344 PMB 205
SAN JUAN PR
00936-8344
US

V. Phone/Fax

Practice location:
  • Phone: 787-953-0120
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QE0002X
TaxonomyEmergency Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QR0200X
TaxonomyRadiology Clinic/Center
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: LILIANA MEDINA OTERO
Title or Position: PRESIDENT
Credential:
Phone: 787-720-5050