Provider Demographics
NPI:1417722372
Name:ASSERTIVE SURGICAL NETWORK, LLC
Entity Type:Organization
Organization Name:ASSERTIVE SURGICAL NETWORK, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEALTHCARE MANAGEMENT CONSULTANT
Authorized Official - Prefix:MRS
Authorized Official - First Name:JAQUELINE
Authorized Official - Middle Name:
Authorized Official - Last Name:TORRES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-415-1142
Mailing Address - Street 1:MANSION REAL 604 CALLE FELIPE SEGUNDO
Mailing Address - Street 2:
Mailing Address - City:COTO LAUREL
Mailing Address - State:PR
Mailing Address - Zip Code:00780
Mailing Address - Country:US
Mailing Address - Phone:787-415-1142
Mailing Address - Fax:
Practice Address - Street 1:URB. JARD FAGOT 2500 CALLE OBISPADO
Practice Address - Street 2:
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00716-3643
Practice Address - Country:US
Practice Address - Phone:787-415-1142
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-21
Last Update Date:2023-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical