Provider Demographics
NPI:1023071537
Name:PHILADELPHIA PARTNERS, PSC
Entity type:Organization
Organization Name:PHILADELPHIA PARTNERS, PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RICARDO
Authorized Official - Middle Name:F
Authorized Official - Last Name:SANCHEZ-ORTIZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-756-5200
Mailing Address - Street 1:PMB 533
Mailing Address - Street 2:1353 ROAD 19
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00966
Mailing Address - Country:US
Mailing Address - Phone:787-667-7937
Mailing Address - Fax:787-771-7373
Practice Address - Street 1:400 AVE FD ROOSEVELT
Practice Address - Street 2:SUITE 306
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918-2103
Practice Address - Country:US
Practice Address - Phone:787-756-5200
Practice Address - Fax:787-756-5227
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR14938208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR85134OtherTRIPLE S
PR85134OtherTRIPLE S