Provider Demographics
NPI:1497014286
Name:C&R MEDICAL SERVICES, PSC
Entity Type:Organization
Organization Name:C&R MEDICAL SERVICES, PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENTE
Authorized Official - Prefix:DR
Authorized Official - First Name:DIEGO
Authorized Official - Middle Name:J
Authorized Official - Last Name:COLON RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-256-4541
Mailing Address - Street 1:PO BOX 200
Mailing Address - Street 2:PMB 359
Mailing Address - City:CANOVANAS
Mailing Address - State:PR
Mailing Address - Zip Code:00729-0200
Mailing Address - Country:US
Mailing Address - Phone:787-256-4541
Mailing Address - Fax:787-256-7610
Practice Address - Street 1:LOCAL AA-8
Practice Address - Street 2:LOIZA VALLEY MALL
Practice Address - City:CANOVANAS
Practice Address - State:PR
Practice Address - Zip Code:00729
Practice Address - Country:US
Practice Address - Phone:787-256-4541
Practice Address - Fax:787-256-7610
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-14
Last Update Date:2012-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center