Provider Demographics
NPI:1598070252
Name:MODERN SOLUTIONS
Entity Type:Organization
Organization Name:MODERN SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LORENZO
Authorized Official - Middle Name:BORJA
Authorized Official - Last Name:HOCOG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:670-234-5302
Mailing Address - Street 1:P.O. BOX 504513
Mailing Address - Street 2:
Mailing Address - City:SAIPAN
Mailing Address - State:MP
Mailing Address - Zip Code:96950-4513
Mailing Address - Country:US
Mailing Address - Phone:670-234-5302
Mailing Address - Fax:670-234-5303
Practice Address - Street 1:1 DAHON DRIVE
Practice Address - Street 2:UNIT# WC-3
Practice Address - City:SAIPAN
Practice Address - State:MP
Practice Address - Zip Code:96950-4513
Practice Address - Country:US
Practice Address - Phone:670-234-5302
Practice Address - Fax:670-234-5303
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-18
Last Update Date:2010-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MP023261QR1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health