Provider Demographics
NPI:1942485016
Name:EMERGENCY PRACTICE MANAGEMENT GROUP,PSC
Entity Type:Organization
Organization Name:EMERGENCY PRACTICE MANAGEMENT GROUP,PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JESUS
Authorized Official - Middle Name:M
Authorized Official - Last Name:MARIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-787-5151
Mailing Address - Street 1:PO BOX 363589
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00936-3589
Mailing Address - Country:US
Mailing Address - Phone:787-787-5151
Mailing Address - Fax:787-787-8484
Practice Address - Street 1:AVE LAUREL SANTA JUANITA
Practice Address - Street 2:HOSPITAL UNIVERSITARIO DR. RAMON RUIZ ARNAU
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00956
Practice Address - Country:US
Practice Address - Phone:787-787-5151
Practice Address - Fax:787-787-8484
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-08
Last Update Date:2008-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0002XAmbulatory Health Care FacilitiesClinic/CenterEmergency Care