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General NPI Number Information
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NPI Number | 1225575434
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Entity Type | Organization
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Legal Business Name | MEDICAL SPECIALISTS SERVICES P.S.C.
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Dates
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Enumeration Date | 01/25/2017
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Last Update Date | 01/25/2017
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Provider Practice Location Address
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Address Line | 2225 PONCE BYP STE 802
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City | PONCE
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State | PR
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Zip | 00717-1379
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Country | US
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Telephone | 787-841-7030
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Fax | 787-844-1125
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Provider Business Mailing Address
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Address Line | PO BOX 801117
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City | COTO LAUREL
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State | PR
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Zip | 00780-1117
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Country | US
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Telephone | 787-841-7030
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Fax | 787-844-1125
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | LOURDES GARCIA
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Credential |
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Telephone | 787-841-7030
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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