MEDICARE: KCM SERVICE, PSC

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	:	1376065037
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KCM SERVICE, PSC

Provider Business Mailing Address
First Line	:	PO BOX 16843
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00908-6843
Country	:	US
Telephone Number	:	787-787-9315
Fax Number	:

Provider Business Practice Location Address
First Line	:	BAYAMON PLAZA
Second Line	:	SUITE 503
City	:	BAYAMON
State	:	PR
Zip	:	00959-0095
Country	:	US
Telephone Number	:	787-787-9315
Fax Number	:	787-787-9315

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. CARLOS J. MIRANDA
Credential	:	MD
Telephone Number	:	787-787-9315

Provider Enumeration Date	:	07/13/2017
Last Update Date	:	07/13/2017

Similar Medicare Providers

1346616513 — MRS. DENISSE MARCANO PHARMD
Practice Location Address:

CARRETERA #2 KM 0.7
BAYAMON, PR
00959-0095

Practice Phone: 787-786-6306
Practice Fax: 787-966-7652

1093221616 — AVANTI THERAPY GROUP, PSC
Practice Location Address:

500 ALTURAS DE FLAMBOYAN PLAZA CHEVRES , AVE TENIENTE NELSON MARTINEZ
BAYAMON, PR
00959-0095

Practice Phone: 787-438-6170
Practice Fax:

1982170486 — LIVIU MOROGAN MA
Practice Location Address:

K5 CALLE 1 URB LA MILAGROSA
BAYAMON, PR
00959-0095

Practice Phone: 787-235-6947
Practice Fax:

1104472745 — KALEYNI PADILLA QUIROS PHARMD
Practice Location Address:

200 AVE. ORQUIDEA # 5 , REPARTO VALENCIA
BAYAMON, PR
00959-0095

Practice Phone: 787-786-1084
Practice Fax:

1568018190 — MS. SUHEILY PADILLA QUIROS PHARMD
Practice Location Address:

200 AVE. ORQUIDEA # 5 , REPARTO VALENCIA
BAYAMON, PR
00959-0095

Practice Phone: 787-786-1084
Practice Fax:

1548845498 — DR. RUBEN DARIO HERRERA MD
Practice Location Address:

KM 11.7 CARR PUERTO RICO 2
BAYAMON, PR
00959-0095

Practice Phone: 787-620-8181
Practice Fax:

Directions to “KCM SERVICE, PSC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.