Provider Demographics
NPI:1881816932
Name:SERVICIOS MEDICOS UNIVERSITARIOS INC
Entity Type:Organization
Organization Name:SERVICIOS MEDICOS UNIVERSITARIOS INC
Other - Org Name:HOSPITAL UPR, DR FEDERICO TRILLA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:YELITZA
Authorized Official - Middle Name:
Authorized Official - Last Name:SANCHEZ-RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MHSA
Authorized Official - Phone:787-757-1800
Mailing Address - Street 1:PO BOX 1621
Mailing Address - Street 2:
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00984-1621
Mailing Address - Country:US
Mailing Address - Phone:787-757-1800
Mailing Address - Fax:787-752-1559
Practice Address - Street 1:HOSP UPR DR FEDERICO TRILLA
Practice Address - Street 2:7200 AVE 65 DE INFANTERIA
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00985-5575
Practice Address - Country:US
Practice Address - Phone:787-757-1800
Practice Address - Fax:787-757-3709
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-02
Last Update Date:2023-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103TC0700X, 2084B0040X, 2084P0800X, 390200000X
PR14273R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes273R00000XHospital UnitsPsychiatric UnitGroup - Multi-Specialty
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No2084B0040XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyBehavioral Neurology & NeuropsychiatryGroup - Multi-Specialty
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR40-0112Medicare ID - Type Unspecified