Provider Demographics
NPI:1437397742
Name:OCCUPATIONAL MEDICAL SERVICES INC
Entity Type:Organization
Organization Name:OCCUPATIONAL MEDICAL SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:A
Authorized Official - Last Name:CANALES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-787-3637
Mailing Address - Street 1:PO BOX 8
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00960-0008
Mailing Address - Country:US
Mailing Address - Phone:787-787-3637
Mailing Address - Fax:787-269-2414
Practice Address - Street 1:AVE. CARLOS J ANADALUZ 2G14 LOMAS VERDES
Practice Address - Street 2:
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00956
Practice Address - Country:US
Practice Address - Phone:787-787-3637
Practice Address - Fax:787-269-2414
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-23
Last Update Date:2010-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6688174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty