Provider Demographics
NPI:1427204338
Name:D & M MEDICAL CORP
Entity Type:Organization
Organization Name:D & M MEDICAL CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRADORA
Authorized Official - Prefix:MRS
Authorized Official - First Name:DAISY
Authorized Official - Middle Name:
Authorized Official - Last Name:ALEQUIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-385-1929
Mailing Address - Street 1:PO BOX 1595
Mailing Address - Street 2:
Mailing Address - City:GUANICA
Mailing Address - State:PR
Mailing Address - Zip Code:00653-1595
Mailing Address - Country:US
Mailing Address - Phone:787-385-1929
Mailing Address - Fax:
Practice Address - Street 1:CALLE CELIS AGUILERA ESQ BETANCES
Practice Address - Street 2:12B
Practice Address - City:SANTA ISABEL
Practice Address - State:PR
Practice Address - Zip Code:00757
Practice Address - Country:US
Practice Address - Phone:787-385-1929
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-12
Last Update Date:2008-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service