MEDICARE: RC MEDICAL SERVICES 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	302R00000X	Health Maintenance Organization

General Provider Information

NPI Number	:	1558738476
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RC MEDICAL SERVICES PSC

Provider Business Mailing Address
First Line	:	42 CALLE ANTONIO R BARCELO
Second Line	:
City	:	CIDRA
State	:	PR
Zip	:	00739-3442
Country	:	US
Telephone Number	:	787-739-4585
Fax Number	:	787-739-7199

Provider Business Practice Location Address
First Line	:	42 CALLE ANTONIO R BARCELO
Second Line	:
City	:	CIDRA
State	:	PR
Zip	:	00739-3442
Country	:	US
Telephone Number	:	787-739-4585
Fax Number	:	787-739-7199

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. ANDRES RAMOS CONDE
Credential	:	M.D.
Telephone Number	:	787-739-4585

Provider Enumeration Date	:	08/26/2015
Last Update Date	:	08/26/2015

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