Provider Demographics
NPI:1033668876
Name:ELITE NETWORK PHYSICIANS HOME SERVICES PSC
Entity Type:Organization
Organization Name:ELITE NETWORK PHYSICIANS HOME SERVICES PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-404-4258
Mailing Address - Street 1:212 CALLE LAS MARIAS
Mailing Address - Street 2:HYDE PARK
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00927-0000
Mailing Address - Country:US
Mailing Address - Phone:787-404-4258
Mailing Address - Fax:787-721-3458
Practice Address - Street 1:212 CALLE LAS MARIAS
Practice Address - Street 2:HYDE PARK
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00927
Practice Address - Country:US
Practice Address - Phone:787-404-4258
Practice Address - Fax:787-721-3458
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-21
Last Update Date:2016-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR383179OtherREGISTRO