Provider Demographics
NPI:1841617735
Name:BCS PULMONARY SERVICES, PSC
Entity Type:Organization
Organization Name:BCS PULMONARY SERVICES, PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DEV
Authorized Official - Middle Name:RICHARD
Authorized Official - Last Name:BOODOOSINGH CASIANO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-543-1926
Mailing Address - Street 1:PO BOX 729
Mailing Address - Street 2:
Mailing Address - City:GUAYAMA
Mailing Address - State:PR
Mailing Address - Zip Code:00785-0729
Mailing Address - Country:US
Mailing Address - Phone:787-290-5577
Mailing Address - Fax:787-848-6644
Practice Address - Street 1:917 AVE. TITO CASTRO
Practice Address - Street 2:TORRE MEDICA SAN LUCAS SUITE 701
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00717-0000
Practice Address - Country:US
Practice Address - Phone:787-290-5577
Practice Address - Fax:787-848-6644
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-28
Last Update Date:2014-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR17668207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR17668OtherMEDICAL LICENCE