Provider Demographics
NPI:1396188256
Name:SA INC MEDICAL SERVICES
Entity Type:Organization
Organization Name:SA INC MEDICAL SERVICES
Other - Org Name:SA INC MS
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:
Authorized Official - Last Name:SANTIAGO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-885-4141
Mailing Address - Street 1:AVE LAURO PINERO
Mailing Address - Street 2:195
Mailing Address - City:CEIBA
Mailing Address - State:PR
Mailing Address - Zip Code:00735
Mailing Address - Country:US
Mailing Address - Phone:787-885-4141
Mailing Address - Fax:787-885-3795
Practice Address - Street 1:AVENIDA LAURO PINERO
Practice Address - Street 2:195
Practice Address - City:CEIBA
Practice Address - State:PR
Practice Address - Zip Code:00735
Practice Address - Country:US
Practice Address - Phone:787-885-4141
Practice Address - Fax:787-885-3795
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-10
Last Update Date:2013-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center