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NPI Code Detail

MEDICARE: SERVICIOS MEDICOS DEL VALLE DE LAJAS, INC

MEDICARE: SERVICIOS MEDICOS DEL VALLE DE LAJAS, INC
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
1261QE0002XEmergency Care Clinic/CenterPR
2261QR0200XRadiology Clinic/Center

General Provider Information

NPI Number : 1114042926
Entity Type Code : Organization
Provider Name (Legal Business Name) : SERVICIOS MEDICOS DEL VALLE DE LAJAS, INC
Provider Business Mailing Address
First Line : PO BOX 1715
Second Line :
City : LAJAS
State : PR
Zip : 00667-1715
Country : US
Telephone Number : 787-899-4242
Fax Number : 787-899-8023
Provider Business Practice Location Address
First Line : 237 AVE LOS VETERANOS
Second Line :
City : LAJAS
State : PR
Zip : 00667-2509
Country : US
Telephone Number : 787-899-4242
Fax Number : 787-899-8023
Authorized Official
Title or Position : PRESIDENT
Name : ROBERTO I RUIZ
Credential : MHSA
Telephone Number : 787-899-4242
Provider Enumeration Date : 03/20/2007
Last Update Date : 04/29/2020

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Directions to “SERVICIOS MEDICOS DEL VALLE DE LAJAS, INC ” Practice Location

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