Provider Demographics
NPI:1013754308
Name:EXPRESS MEDICAL SERVICES LLC
Entity type:Organization
Organization Name:EXPRESS MEDICAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD/PRESIDENTE
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSUE
Authorized Official - Middle Name:O
Authorized Official - Last Name:VALDES DELGADO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:939-732-4145
Mailing Address - Street 1:PO BOX 653
Mailing Address - Street 2:
Mailing Address - City:YABUCOA
Mailing Address - State:PR
Mailing Address - Zip Code:00767-0653
Mailing Address - Country:US
Mailing Address - Phone:939-732-4145
Mailing Address - Fax:
Practice Address - Street 1:CALLE 2 A 21
Practice Address - Street 2:URB VILLA RECREO
Practice Address - City:YABUCOA
Practice Address - State:PR
Practice Address - Zip Code:00767-3431
Practice Address - Country:US
Practice Address - Phone:939-732-4145
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-12
Last Update Date:2024-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty