Provider Demographics
NPI:1760887285
Name:OPR MD MEDICAL SERVICES
Entity Type:Organization
Organization Name:OPR MD MEDICAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR MEDICO
Authorized Official - Prefix:DR
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:P
Authorized Official - Last Name:PARRILLA PABLOS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-404-3267
Mailing Address - Street 1:125 CALLE CIELO RUBI
Mailing Address - Street 2:URB CIELO DORADO
Mailing Address - City:VEGA ALTA
Mailing Address - State:PR
Mailing Address - Zip Code:00692-8814
Mailing Address - Country:US
Mailing Address - Phone:787-404-3267
Mailing Address - Fax:787-679-5226
Practice Address - Street 1:25 CALLE EDUARTO GEORGETTI
Practice Address - Street 2:
Practice Address - City:VEGA ALTA
Practice Address - State:PR
Practice Address - Zip Code:00692
Practice Address - Country:US
Practice Address - Phone:787-679-5226
Practice Address - Fax:787-679-5226
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-27
Last Update Date:2015-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR261QM1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR343135OtherCERTIFICACION DE ESTADO