Provider Demographics
NPI:1336305416
Name:LOCAL MEDICAL SERVICES, PSC
Entity Type:Organization
Organization Name:LOCAL MEDICAL SERVICES, PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CESAR
Authorized Official - Middle Name:L
Authorized Official - Last Name:PEREZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-272-4507
Mailing Address - Street 1:COND PARQUE REALES
Mailing Address - Street 2:APT 230
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969-5316
Mailing Address - Country:US
Mailing Address - Phone:787-272-4507
Mailing Address - Fax:
Practice Address - Street 1:COND PARQUE REALES
Practice Address - Street 2:APT 230
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00969-5316
Practice Address - Country:US
Practice Address - Phone:787-272-4507
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-29
Last Update Date:2008-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR14674208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty