Provider Demographics
NPI:1265003198
Name:HOPE MED PSC
Entity Type:Organization
Organization Name:HOPE MED PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENTA
Authorized Official - Prefix:
Authorized Official - First Name:SAMAH
Authorized Official - Middle Name:
Authorized Official - Last Name:SHEHADEH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-529-3102
Mailing Address - Street 1:FIRST FEDERAL BUILDING SUITE 302
Mailing Address - Street 2:1519 AVE PONCE DE LEON
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00909
Mailing Address - Country:US
Mailing Address - Phone:787-529-3102
Mailing Address - Fax:
Practice Address - Street 1:AVE PONCE DE LEON
Practice Address - Street 2:HATO REY
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00919
Practice Address - Country:US
Practice Address - Phone:787-785-2000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-01
Last Update Date:2021-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty