MEDICARE: H S CARIBBEAN MEDICAL SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1073684627
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	H S CARIBBEAN MEDICAL SERVICES

Provider Business Mailing Address
First Line	:	PO BOX 19536
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00910-9536
Country	:	US
Telephone Number	:	787-728-8715
Fax Number	:	787-728-8715

Provider Business Practice Location Address
First Line	:	700 EUROPA ESQUINA AVE
Second Line	:	FERNANDO JUNCOS SUITE 305
City	:	SAN JUAN
State	:	PR
Zip	:	00910-9536
Country	:	US
Telephone Number	:	787-728-8715
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	HAROLD NELSON STODDARD SR.
Credential	:	MD
Telephone Number	:	787-728-8715

Provider Enumeration Date	:	11/13/2006
Last Update Date	:	08/22/2020

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