Provider Demographics
NPI:1750660619
Name:CRITICAL PULMONARY MEDICAL SERVICES
Entity Type:Organization
Organization Name:CRITICAL PULMONARY MEDICAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENTE
Authorized Official - Prefix:DR
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:R
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD FCCP
Authorized Official - Phone:787-765-1919
Mailing Address - Street 1:400 AVE FD ROOSEVELT
Mailing Address - Street 2:CLINICA LAS AMERICAS SUITE 205
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00918-2103
Mailing Address - Country:US
Mailing Address - Phone:787-765-1919
Mailing Address - Fax:787-763-4049
Practice Address - Street 1:400 AVE FD ROOSEVELT
Practice Address - Street 2:CLINICA LAS AMERICAS SUITE 205
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918-2103
Practice Address - Country:US
Practice Address - Phone:787-765-1919
Practice Address - Fax:787-763-4049
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-10
Last Update Date:2012-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR13628305R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR23329Medicare PIN