Provider Demographics
NPI:1073684627
Name:H S CARIBBEAN MEDICAL SERVICES
Entity Type:Organization
Organization Name:H S CARIBBEAN MEDICAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HAROLD
Authorized Official - Middle Name:NELSON
Authorized Official - Last Name:STODDARD
Authorized Official - Suffix:SR
Authorized Official - Credentials:MD
Authorized Official - Phone:787-728-8715
Mailing Address - Street 1:PO BOX 19536
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00910-9536
Mailing Address - Country:US
Mailing Address - Phone:787-728-8715
Mailing Address - Fax:787-728-8715
Practice Address - Street 1:700 EUROPA ESQUINA AVE
Practice Address - Street 2:FERNANDO JUNCOS SUITE 305
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00910-9536
Practice Address - Country:US
Practice Address - Phone:787-728-8715
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0085015Medicare ID - Type Unspecified