Provider Demographics
NPI:1043477359
Name:RHR MEDICAL PSC
Entity Type:Organization
Organization Name:RHR MEDICAL PSC
Other - Org Name:RHR MEDICAL PSC
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JUAN
Authorized Official - Middle Name:CARLOS
Authorized Official - Last Name:RAMOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-614-5231
Mailing Address - Street 1:PMB 659 NUM 138
Mailing Address - Street 2:AVE WINSTON CHURCHILL
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926
Mailing Address - Country:US
Mailing Address - Phone:787-614-5231
Mailing Address - Fax:787-273-1849
Practice Address - Street 1:CALLE FRANCISCO CRUZ HADDOCK
Practice Address - Street 2:NUM 5 URB FERNANDEZ
Practice Address - City:CIDRA
Practice Address - State:PR
Practice Address - Zip Code:00739
Practice Address - Country:US
Practice Address - Phone:787-614-5231
Practice Address - Fax:787-273-1849
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:JUAN C RAMOS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-05-22
Last Update Date:2008-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty
No207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR=========Medicare PIN