Provider Demographics
NPI:1538475348
Name:SURGICAL SOLUTIONS-J.A. PUERTO RICO, INC
Entity Type:Organization
Organization Name:SURGICAL SOLUTIONS-J.A. PUERTO RICO, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:
Authorized Official - Last Name:ALVAREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-622-6836
Mailing Address - Street 1:PO BOX 2500
Mailing Address - Street 2:
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00970-2500
Mailing Address - Country:US
Mailing Address - Phone:787-622-6836
Mailing Address - Fax:787-622-6839
Practice Address - Street 1:#1 ELECTRO BIOLOGY BLVD.
Practice Address - Street 2:LOS FRAILES IND. PARK
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00969
Practice Address - Country:US
Practice Address - Phone:787-622-6836
Practice Address - Fax:787-622-6839
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-31
Last Update Date:2010-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies