Provider Demographics
NPI:1093768319
Name:D & D MEDICAL SERVICES, INC.
Entity Type:Organization
Organization Name:D & D MEDICAL SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:LUIS
Authorized Official - Middle Name:ANTONIO
Authorized Official - Last Name:DELGADO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-306-4376
Mailing Address - Street 1:PO BOX 42
Mailing Address - Street 2:
Mailing Address - City:MANATI
Mailing Address - State:PR
Mailing Address - Zip Code:00674-0042
Mailing Address - Country:US
Mailing Address - Phone:787-621-3700
Mailing Address - Fax:787-621-3710
Practice Address - Street 1:CARR. # 2 INT. 668 URB. ATENAS
Practice Address - Street 2:CALLE HERNANDEZ CARRION
Practice Address - City:MANATI
Practice Address - State:PR
Practice Address - Zip Code:00674
Practice Address - Country:US
Practice Address - Phone:787-621-3700
Practice Address - Fax:787-621-3710
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-18
Last Update Date:2010-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR67191OtherCRUZ AZUL
PR994907OtherMMM
PR83880OtherTRIPLE S
PR999380OtherPREFERED MEDICARE CHOICE
PR9790020OtherHUMANA
PR=========OtherMEDICAL CARD SYSTEM
PR67191OtherCRUZ AZUL
PR999380OtherPREFERED MEDICARE CHOICE
PR=========OtherACAA
PR=========OtherMEDICAL CARD SYSTEM