Provider Demographics
NPI:1114624632
Name:CARIBBEAN MEDICAL SERVICES LLC
Entity Type:Organization
Organization Name:CARIBBEAN MEDICAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JUAN
Authorized Official - Middle Name:A
Authorized Official - Last Name:VELEZ SOLE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-449-0405
Mailing Address - Street 1:JARDINES DEL CARIBE 109 CALLE 4
Mailing Address - Street 2:
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00728
Mailing Address - Country:US
Mailing Address - Phone:407-967-3427
Mailing Address - Fax:
Practice Address - Street 1:JARDINES DEL CARIBE 109 CALLE 4
Practice Address - Street 2:
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00728
Practice Address - Country:US
Practice Address - Phone:407-967-3427
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-15
Last Update Date:2023-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty