Provider Demographics
NPI:1205224698
Name:DIRECT SOLUTIONS SERVICES CORP
Entity Type:Organization
Organization Name:DIRECT SOLUTIONS SERVICES CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:YUSNIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:VALDES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-224-0882
Mailing Address - Street 1:1248 VISCAYA PKWY UNIT 2B
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33990-6202
Mailing Address - Country:US
Mailing Address - Phone:239-443-5846
Mailing Address - Fax:
Practice Address - Street 1:1248 VISCAYA PKWY UNIT 2B
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33990-6202
Practice Address - Country:US
Practice Address - Phone:239-443-5846
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-07
Last Update Date:2015-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service