Provider Demographics
NPI:1629110903
Name:CITIZEN MEDICAL SERVICES CORP
Entity Type:Organization
Organization Name:CITIZEN MEDICAL SERVICES CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALEXIS
Authorized Official - Middle Name:G
Authorized Official - Last Name:PADIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-898-9090
Mailing Address - Street 1:PO BOX 2071
Mailing Address - Street 2:
Mailing Address - City:HATILLO
Mailing Address - State:PR
Mailing Address - Zip Code:00659-9071
Mailing Address - Country:US
Mailing Address - Phone:787-898-9090
Mailing Address - Fax:
Practice Address - Street 1:URB MAR AZUL B 7 CALLE 1
Practice Address - Street 2:
Practice Address - City:HATILLO
Practice Address - State:PR
Practice Address - Zip Code:00659
Practice Address - Country:US
Practice Address - Phone:787-898-9090
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PRTC AMB 4453416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport