Provider Demographics
NPI:1457483653
Name:MED CARE HEALTH, INC
Entity Type:Organization
Organization Name:MED CARE HEALTH, INC
Other - Org Name:MED CARE X RAY SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF EXECUTIVE
Authorized Official - Prefix:MR
Authorized Official - First Name:HERNAN
Authorized Official - Middle Name:MORALES
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:939-630-0340
Mailing Address - Street 1:CENTRO DE SALUD KM. 2.2 RAMALL 116
Mailing Address - Street 2:CENTRO DE SALUD KM. 2.2 RAMALL 116
Mailing Address - City:YAUCO
Mailing Address - State:PR
Mailing Address - Zip Code:00698
Mailing Address - Country:US
Mailing Address - Phone:939-630-0340
Mailing Address - Fax:
Practice Address - Street 1:CENTRO DE SALUD KM. 2.2 RAMALL 116
Practice Address - Street 2:CENTRO DE SALUD KM. 2.2 RAMALL 116
Practice Address - City:YAUCO
Practice Address - State:PR
Practice Address - Zip Code:00698
Practice Address - Country:US
Practice Address - Phone:939-630-0340
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR26QR0200X261QR0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology