Provider Demographics
NPI:1407283807
Name:BEST HEALTH CARE OF PUERTO RICO LLC
Entity Type:Organization
Organization Name:BEST HEALTH CARE OF PUERTO RICO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE BOARD DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:P
Authorized Official - Last Name:FAHED
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-840-8899
Mailing Address - Street 1:917 TITO CASTRO AVE
Mailing Address - Street 2:SUITE 701
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00733-6810
Mailing Address - Country:US
Mailing Address - Phone:787-840-8899
Mailing Address - Fax:787-848-6644
Practice Address - Street 1:917 TITO CASTRO AVE
Practice Address - Street 2:SUITE 701
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00733-6810
Practice Address - Country:US
Practice Address - Phone:787-840-8899
Practice Address - Fax:787-848-6644
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-30
Last Update Date:2013-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR13251207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty