Provider Demographics
NPI:1568759140
Name:DOCTOR EXPRESS HEALTH SYSTEM, LLC
Entity Type:Organization
Organization Name:DOCTOR EXPRESS HEALTH SYSTEM, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:AMILLCAR
Authorized Official - Middle Name:
Authorized Official - Last Name:TORRES FIGUEROA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-250-0124
Mailing Address - Street 1:735 AVE PONCE DE LEON STE 715
Mailing Address - Street 2:TORRE MEDICA AUXILIO MUTUO
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00917-5030
Mailing Address - Country:US
Mailing Address - Phone:787-250-0124
Mailing Address - Fax:787-773-8008
Practice Address - Street 1:STREET #2 KM 56.8
Practice Address - Street 2:
Practice Address - City:BARCELONETA
Practice Address - State:PR
Practice Address - Zip Code:00617
Practice Address - Country:US
Practice Address - Phone:787-250-0124
Practice Address - Fax:787-773-8008
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-05
Last Update Date:2011-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0080852Medicare PIN
PR0088962Medicare PIN