Provider Demographics
NPI: | 1760696637 |
---|---|
Name: | MEDICAL SERVICES UNLIMITED |
Entity Type: | Organization |
Organization Name: | MEDICAL SERVICES UNLIMITED |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | PRESIDENT |
Authorized Official - Prefix: | DR |
Authorized Official - First Name: | CARLOS |
Authorized Official - Middle Name: | A |
Authorized Official - Last Name: | CARDONA |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | MD |
Authorized Official - Phone: | 787-722-2845 |
Mailing Address - Street 1: | 1492 AVE. PONCE DE LEON |
Mailing Address - Street 2: | CENTRO EUROPA SUITE 715 |
Mailing Address - City: | SANTURCE |
Mailing Address - State: | PR |
Mailing Address - Zip Code: | 00910 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 787-722-2845 |
Mailing Address - Fax: | 787-723-2044 |
Practice Address - Street 1: | 1492 AVE. PONCE DE LEON |
Practice Address - Street 2: | CENTRO EUROPA SUITE 715 |
Practice Address - City: | SANTURCE |
Practice Address - State: | PR |
Practice Address - Zip Code: | 00910 |
Practice Address - Country: | US |
Practice Address - Phone: | 787-722-2845 |
Practice Address - Fax: | 787-723-2044 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2007-05-10 |
Last Update Date: | 2020-08-22 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | Group - Single Specialty |