Provider Demographics
NPI:1013348226
Name:SERVICIOS MEDICOS BOIKE CSP
Entity Type:Organization
Organization Name:SERVICIOS MEDICOS BOIKE CSP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:TORRES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-263-0366
Mailing Address - Street 1:1019 CALLE ALMACIGO
Mailing Address - Street 2:URB CAUTIVA
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00726
Mailing Address - Country:US
Mailing Address - Phone:787-263-0366
Mailing Address - Fax:787-263-0340
Practice Address - Street 1:5 CALLE LUIS BAREAS
Practice Address - Street 2:HOSPITAL MUNICIPAL CAYEY
Practice Address - City:CAYEY
Practice Address - State:PR
Practice Address - Zip Code:00736
Practice Address - Country:US
Practice Address - Phone:787-263-0366
Practice Address - Fax:787-263-0340
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-13
Last Update Date:2013-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty