MEDICARE: REMEDIC CORPORATION

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	305R00000X	Preferred Provider Organization

General Provider Information

NPI Number	:	1548342769
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REMEDIC CORPORATION

Provider Business Mailing Address
First Line	:	PO BOX 7004
Second Line	:
City	:	PONCE
State	:	PR
Zip	:	00732
Country	:	US
Telephone Number	:	787-840-1519
Fax Number	:	787-284-2982

Provider Business Practice Location Address
First Line	:	396 ZONA INDUSTRIAL REPARADA II
Second Line	:
City	:	PONCE
State	:	PR
Zip	:	00716-2347
Country	:	US
Telephone Number	:	787-840-1519
Fax Number	:	787-284-2982

Authorized Official
Title or Position	:	VICE PRESIDENT CEO
Name	:	RICARDO R BARNES
Credential	:	MD
Telephone Number	:	787-840-1519

Provider Enumeration Date	:	10/19/2006
Last Update Date	:	08/22/2020

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Directions to “REMEDIC CORPORATION ” Practice Location

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