Provider Demographics
NPI:1235898891
Name:DIAMOND MEDICAL SYSTEM CORP
Entity Type:Organization
Organization Name:DIAMOND MEDICAL SYSTEM CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:WANDA
Authorized Official - Middle Name:ENID
Authorized Official - Last Name:BATISTA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-509-6488
Mailing Address - Street 1:PO BOX 10188
Mailing Address - Street 2:
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00732-0188
Mailing Address - Country:US
Mailing Address - Phone:787-509-6488
Mailing Address - Fax:939-201-7587
Practice Address - Street 1:2341 AVENIDA EDUARDO RUBERTE
Practice Address - Street 2:SECOND FLOOR
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00717
Practice Address - Country:US
Practice Address - Phone:787-509-6488
Practice Address - Fax:939-201-7587
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-10
Last Update Date:2021-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport