Provider Demographics
NPI:1790727006
Name:REM OB GYN SERVICES, P.S.C.
Entity Type:Organization
Organization Name:REM OB GYN SERVICES, P.S.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RAMON
Authorized Official - Middle Name:EDUARDO
Authorized Official - Last Name:MENDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-725-1230
Mailing Address - Street 1:650 CALLE LLOVERAS
Mailing Address - Street 2:SUITE 204 CENTRO PLAZA
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00909-2110
Mailing Address - Country:US
Mailing Address - Phone:787-725-1230
Mailing Address - Fax:
Practice Address - Street 1:650 CALLE LLOVERAS
Practice Address - Street 2:SUITE 204 CENTRO PLAZA
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00909-2110
Practice Address - Country:US
Practice Address - Phone:787-725-1230
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-12
Last Update Date:2014-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR9809207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRG41688Medicare UPIN
PRPTAN EB645AMedicare PIN