Provider Demographics
NPI:1104043892
Name:SES-MED, P.S.C.
Entity Type:Organization
Organization Name:SES-MED, P.S.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NESTOR
Authorized Official - Middle Name:R
Authorized Official - Last Name:ALLENDE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-397-3064
Mailing Address - Street 1:ST 1
Mailing Address - Street 2:D-5 PASEO MAYOR
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926
Mailing Address - Country:US
Mailing Address - Phone:787-397-3064
Mailing Address - Fax:787-273-7970
Practice Address - Street 1:HOSPITAL FEDERICO TRILLA
Practice Address - Street 2:65 INFANTERIA
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00983
Practice Address - Country:US
Practice Address - Phone:787-397-3064
Practice Address - Fax:787-273-7970
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-20
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
PR0084965Medicare ID - Type Unspecified