Provider Demographics
NPI:1972806966
Name:MEDICAL SERVICES SOLUTIONS LE CSP
Entity Type:Organization
Organization Name:MEDICAL SERVICES SOLUTIONS LE CSP
Other - Org Name:MEDICAL SERVICES SOLUTIONS
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:MEDICO GENERALISTA
Authorized Official - Prefix:DR
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:ZAMBRANA
Authorized Official - Last Name:MORALES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-605-1221
Mailing Address - Street 1:PO BOX 2055
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:PR
Mailing Address - Zip Code:00751-2001
Mailing Address - Country:US
Mailing Address - Phone:787-669-5899
Mailing Address - Fax:787-845-0458
Practice Address - Street 1:CALLE CARACOL C8
Practice Address - Street 2:URB VALLE COSTERO
Practice Address - City:SANTA ISABEL
Practice Address - State:PR
Practice Address - Zip Code:00757-0000
Practice Address - Country:US
Practice Address - Phone:787-669-5899
Practice Address - Fax:787-845-0458
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-13
Last Update Date:2010-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR16807302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization