Provider Demographics
NPI:1518223825
Name:DAMAR OF PUERTO RICO SERVICES INC.
Entity Type:Organization
Organization Name:DAMAR OF PUERTO RICO SERVICES INC.
Other - Org Name:CDT DR. ARNALDO GARCIA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:MAHIQUES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-396-8165
Mailing Address - Street 1:PO BOX 25130
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00928-5130
Mailing Address - Country:US
Mailing Address - Phone:787-396-8165
Mailing Address - Fax:787-771-3585
Practice Address - Street 1:FLOR ANTILLANA STREET
Practice Address - Street 2:RESIDENCIAL LLORENS TORRES SAN TURCE
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00907
Practice Address - Country:US
Practice Address - Phone:787-982-8300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-11
Last Update Date:2012-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service