Provider Demographics
NPI:1922621705
Name:SERVICIOS MEDICOS PR, LLC
Entity Type:Organization
Organization Name:SERVICIOS MEDICOS PR, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INTERNAL MEDICINE
Authorized Official - Prefix:DR
Authorized Official - First Name:HECTOR
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTINEZ TORRES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-744-1863
Mailing Address - Street 1:AVE LUIS MUNOZ MARIN #20
Mailing Address - Street 2:PMB 471 URB VILLA BLANCA
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00725
Mailing Address - Country:US
Mailing Address - Phone:787-744-1863
Mailing Address - Fax:
Practice Address - Street 1:HIMA PLAZA I SUITE 306
Practice Address - Street 2:AVE LUIS MUNIZ MARIN ESQ DEGETAU
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725
Practice Address - Country:US
Practice Address - Phone:787-744-1863
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-27
Last Update Date:2020-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty