Provider Demographics
NPI:1447420005
Name:DOCTORS ON CALL, P.S.C.
Entity Type:Organization
Organization Name:DOCTORS ON CALL, P.S.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERTO
Authorized Official - Middle Name:F
Authorized Official - Last Name:UNDA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-644-6451
Mailing Address - Street 1:1357 ASHFORD STE 2
Mailing Address - Street 2:PMB 250
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00907-1403
Mailing Address - Country:US
Mailing Address - Phone:787-644-6451
Mailing Address - Fax:787-689-5833
Practice Address - Street 1:#29 WASHINGTON ST.
Practice Address - Street 2:ASHFORD MEDICAL CENTER STE 408
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00907-1521
Practice Address - Country:US
Practice Address - Phone:787-644-6451
Practice Address - Fax:787-689-5833
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-10
Last Update Date:2013-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR14598208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty