Provider Demographics
NPI:1295038768
Name:COMMUNITY HEALTH EDUCATION AND MEDICAL SERVICES
Entity Type:Organization
Organization Name:COMMUNITY HEALTH EDUCATION AND MEDICAL SERVICES
Other - Org Name:CHEMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:R
Authorized Official - Last Name:PEREZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-219-9293
Mailing Address - Street 1:BO QUEBRADAS
Mailing Address - Street 2:PO BOX 560366
Mailing Address - City:GUAYANILLA
Mailing Address - State:PR
Mailing Address - Zip Code:00656-0366
Mailing Address - Country:US
Mailing Address - Phone:787-219-9293
Mailing Address - Fax:
Practice Address - Street 1:BO QUEBRADAS CARR 377 KM1.5
Practice Address - Street 2:
Practice Address - City:GUAYANILLA
Practice Address - State:PR
Practice Address - Zip Code:00656-0366
Practice Address - Country:US
Practice Address - Phone:787-219-9293
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-06
Last Update Date:2010-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6410251E00000X, 251S00000X, 302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251S00000XAgenciesCommunity/Behavioral Health
No302R00000XManaged Care OrganizationsHealth Maintenance Organization