Provider Demographics
NPI:1295039410
Name:SERVICIOS MEDICOS UNIVERSITARIOS
Entity Type:Organization
Organization Name:SERVICIOS MEDICOS UNIVERSITARIOS
Other - Org Name:LA CASA DEL VETERANO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:MERCEDES
Authorized Official - Last Name:TORRES
Authorized Official - Suffix:
Authorized Official - Credentials:MHSA
Authorized Official - Phone:787-837-6574
Mailing Address - Street 1:CARR. 595 BO. AMUELAS #115
Mailing Address - Street 2:
Mailing Address - City:JUANA DIAZ
Mailing Address - State:PR
Mailing Address - Zip Code:00795
Mailing Address - Country:US
Mailing Address - Phone:787-837-6574
Mailing Address - Fax:787-837-1740
Practice Address - Street 1:CARR. 592 KM 5.6
Practice Address - Street 2:BO. AMUELAS #115
Practice Address - City:JUANA DIAZ
Practice Address - State:PR
Practice Address - Zip Code:00795
Practice Address - Country:US
Practice Address - Phone:787-837-6574
Practice Address - Fax:787-837-1740
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-03
Last Update Date:2011-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility