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NPI Code Detail

MEDICARE: SUR-MED MEDICAL CORP.

MEDICARE: SUR-MED MEDICAL CORP.
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
1291U00000XClinical Medical Laboratory743PR

General Provider Information

NPI Number : 1972594836
Entity Type Code : Organization
Provider Name (Legal Business Name) : SUR-MED MEDICAL CORP.
Provider Business Mailing Address
First Line : 8 CALLE COLON PACHECO
Second Line : PO BOX 1162
City : SALINAS
State : PR
Zip : 00751-3344
Country : US
Telephone Number : 787-824-7097
Fax Number : 787-824-7655
Provider Business Practice Location Address
First Line : 8 CALLE COLON PACHECO
Second Line :
City : SALINAS
State : PR
Zip : 00751-3344
Country : US
Telephone Number : 787-824-7097
Fax Number : 787-824-7655
Authorized Official
Title or Position : PRESIDENT/MEDICAL DIRECTOR
Name : CARLOS J RODRIGUEZ MATEO
Credential : MD
Telephone Number : 787-204-3282
Provider Enumeration Date : 10/31/2005
Last Update Date : 05/13/2013

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Directions to “SUR-MED MEDICAL CORP. ” Practice Location

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