Provider Demographics
NPI:1083912570
Name:SURGI SERVICES CORP.
Entity Type:Organization
Organization Name:SURGI SERVICES CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:FERNANDO
Authorized Official - Middle Name:
Authorized Official - Last Name:DIAZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-510-6868
Mailing Address - Street 1:1524 CALLE BORI
Mailing Address - Street 2:URB BELISA
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00927-6116
Mailing Address - Country:US
Mailing Address - Phone:787-510-6868
Mailing Address - Fax:
Practice Address - Street 1:1524 CALLE BORI
Practice Address - Street 2:URB BELISA
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00927-6116
Practice Address - Country:US
Practice Address - Phone:787-510-6868
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-07
Last Update Date:2011-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies