Provider Demographics
NPI:1225389752
Name:DOK HEALTH SERVICES, PSC
Entity Type:Organization
Organization Name:DOK HEALTH SERVICES, PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:IVETTE
Authorized Official - Last Name:OSSA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-240-1564
Mailing Address - Street 1:PO BOX 16726
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00908-6726
Mailing Address - Country:US
Mailing Address - Phone:787-240-1574
Mailing Address - Fax:
Practice Address - Street 1:ASHFORD PRESBYTERIAN COMMUNITY HOSPITAL
Practice Address - Street 2:ASHFORD AVE. #1451
Practice Address - City:CONDADO
Practice Address - State:PR
Practice Address - Zip Code:00907
Practice Address - Country:US
Practice Address - Phone:787-999-0204
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-24
Last Update Date:2012-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR16274207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty