Provider Demographics
NPI:1003231226
Name:DELIZ ASMAR ORTHOPEDIC SERVICES PSC
Entity Type:Organization
Organization Name:DELIZ ASMAR ORTHOPEDIC SERVICES PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:EFRAIN
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:ASMAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-798-7050
Mailing Address - Street 1:PMB 181
Mailing Address - Street 2:1353 ROAD 19
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00966-2700
Mailing Address - Country:US
Mailing Address - Phone:787-798-7050
Mailing Address - Fax:787-787-2107
Practice Address - Street 1:CARIMED PLZ
Practice Address - Street 2:B-1 CALLE SANTA CRUZ SUITE 403
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00961-6928
Practice Address - Country:US
Practice Address - Phone:787-798-7050
Practice Address - Fax:787-787-2107
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-25
Last Update Date:2014-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR9862207XS0114X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XS0114XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryAdult Reconstructive Orthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR8226OtherAMERICAN HEALTH