Provider Demographics
NPI:1275891020
Name:HAND SPECIALIZED PSC
Entity Type:Organization
Organization Name:HAND SPECIALIZED PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:OMAR
Authorized Official - Middle Name:A
Authorized Official - Last Name:MORALES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-720-8610
Mailing Address - Street 1:50 AVE LOPATEGUI
Mailing Address - Street 2:PARKVILLE PLAZA 105
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969-4537
Mailing Address - Country:US
Mailing Address - Phone:787-720-8610
Mailing Address - Fax:
Practice Address - Street 1:50 AVE LOPATEGUI
Practice Address - Street 2:PARKVILLE PLAZA 105
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00969-4537
Practice Address - Country:US
Practice Address - Phone:787-720-8610
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-30
Last Update Date:2012-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR16912207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand SurgeryGroup - Single Specialty