Provider Demographics
NPI:1437468758
Name:MED CARE GROUP SERVICES INC
Entity Type:Organization
Organization Name:MED CARE GROUP SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:L
Authorized Official - Last Name:MUNDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-717-5655
Mailing Address - Street 1:25 CALLE LEPANTO
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-1905
Mailing Address - Country:US
Mailing Address - Phone:787-717-5655
Mailing Address - Fax:
Practice Address - Street 1:25 CALLE LEPANTO
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926-1905
Practice Address - Country:US
Practice Address - Phone:787-717-5655
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-04
Last Update Date:2010-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service