Provider Demographics
NPI:1326205394
Name:PALMER MEDICAL SERVICES INC
Entity Type:Organization
Organization Name:PALMER MEDICAL SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT-DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:PALMER
Authorized Official - Middle Name:MEDICAL
Authorized Official - Last Name:SERVICES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-888-3000
Mailing Address - Street 1:48 MARGINAL STREET PALMER RIO GRANDE
Mailing Address - Street 2:BOX 907
Mailing Address - City:CANOVANAS
Mailing Address - State:PR
Mailing Address - Zip Code:00729
Mailing Address - Country:US
Mailing Address - Phone:787-888-3000
Mailing Address - Fax:787-888-3000
Practice Address - Street 1:48 MARGINAL STREET
Practice Address - Street 2:POBLADO PALMEIRO PALMER
Practice Address - City:RIO GRANDE
Practice Address - State:PR
Practice Address - Zip Code:00721
Practice Address - Country:US
Practice Address - Phone:787-888-3000
Practice Address - Fax:787-888-3000
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-19
Last Update Date:2008-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
No261QC1800XAmbulatory Health Care FacilitiesClinic/CenterCorporate Health