Provider Demographics
NPI:1477571412
Name:SERVICIOS MEDICOS DE ANASCO
Entity Type:Organization
Organization Name:SERVICIOS MEDICOS DE ANASCO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENTE
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANCISCO
Authorized Official - Middle Name:J
Authorized Official - Last Name:MORALES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-826-8082
Mailing Address - Street 1:PO BOX 2002
Mailing Address - Street 2:
Mailing Address - City:ANASCO
Mailing Address - State:PR
Mailing Address - Zip Code:00610-3000
Mailing Address - Country:US
Mailing Address - Phone:787-826-8082
Mailing Address - Fax:787-826-8082
Practice Address - Street 1:CARRETERA 402 KILOMETRO 2 BARRIO MARIAS
Practice Address - Street 2:
Practice Address - City:ANASCO
Practice Address - State:PR
Practice Address - Zip Code:00610-0000
Practice Address - Country:US
Practice Address - Phone:787-826-8082
Practice Address - Fax:787-826-8082
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR83347OtherTRIPLE S
PR=========OtherMEDICAL CARD SYSTEM