Provider Demographics
NPI:1659564839
Name:SUMMIT HEALTH SERVICES INC.
Entity Type:Organization
Organization Name:SUMMIT HEALTH SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COMPTROLLER
Authorized Official - Prefix:MR
Authorized Official - First Name:RICARDO
Authorized Official - Middle Name:
Authorized Official - Last Name:MORALES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-620-0026
Mailing Address - Street 1:PO BOX 21536
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00928-1536
Mailing Address - Country:US
Mailing Address - Phone:787-620-0011
Mailing Address - Fax:787-758-2925
Practice Address - Street 1:CALLE ANGEL BUONOMO 361
Practice Address - Street 2:URB. IND. TRES MONJITAS
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918-1308
Practice Address - Country:US
Practice Address - Phone:787-620-0011
Practice Address - Fax:787-158-2925
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-22
Last Update Date:2008-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR5988180001Medicare NSC