Provider Demographics
NPI:1568556850
Name:DOCTOR JAVIER E MUSKUS AND ASSOCIATE C.S. P.
Entity Type:Organization
Organization Name:DOCTOR JAVIER E MUSKUS AND ASSOCIATE C.S. P.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DUENO
Authorized Official - Prefix:DR
Authorized Official - First Name:JAVIER
Authorized Official - Middle Name:E
Authorized Official - Last Name:MUSKUS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-878-9494
Mailing Address - Street 1:PO BOX 141328
Mailing Address - Street 2:
Mailing Address - City:ARECIBO
Mailing Address - State:PR
Mailing Address - Zip Code:00614
Mailing Address - Country:US
Mailing Address - Phone:787-878-9494
Mailing Address - Fax:787-979-9495
Practice Address - Street 1:HOSPITAL CAYETANO COLLY TOSTE
Practice Address - Street 2:SUITE 108
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00614
Practice Address - Country:US
Practice Address - Phone:787-878-9494
Practice Address - Fax:787-878-9495
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2014-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR12444207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
89781Medicare ID - Type Unspecified
G84696Medicare UPIN