Provider Demographics
NPI:1902818669
Name:HEALTH SUPPORT SERVICES, INC
Entity Type:Organization
Organization Name:HEALTH SUPPORT SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:AMARILIS
Authorized Official - Middle Name:
Authorized Official - Last Name:SERRANO-MIRANDA
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:787-257-1860
Mailing Address - Street 1:PO BOX 29683
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00929-0683
Mailing Address - Country:US
Mailing Address - Phone:787-257-1860
Mailing Address - Fax:787-257-9426
Practice Address - Street 1:GJ15 AVE ROBERTO SANCHEZ VILELLA
Practice Address - Street 2:
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00982-2656
Practice Address - Country:US
Practice Address - Phone:787-776-3521
Practice Address - Fax:787-257-9426
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR84839Medicare ID - Type Unspecified