Provider Demographics
NPI:1114901592
Name:RIN HEALTH CARE SERVICES OF PR INC
Entity Type:Organization
Organization Name:RIN HEALTH CARE SERVICES OF PR INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROSA
Authorized Official - Middle Name:IVONNE
Authorized Official - Last Name:MONTALVO
Authorized Official - Suffix:
Authorized Official - Credentials:BS
Authorized Official - Phone:787-832-3114
Mailing Address - Street 1:PO BOX 1236
Mailing Address - Street 2:
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00681-1236
Mailing Address - Country:US
Mailing Address - Phone:787-832-3114
Mailing Address - Fax:787-832-3114
Practice Address - Street 1:MCKINLEY 25 WEST ST
Practice Address - Street 2:
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00680
Practice Address - Country:US
Practice Address - Phone:787-832-3114
Practice Address - Fax:787-832-3114
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-30
Last Update Date:2008-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care