Provider Demographics
NPI:1023107182
Name:SERVICIOS MEDICOS UNIVERSITARIOS INC
Entity type:Organization
Organization Name:SERVICIOS MEDICOS UNIVERSITARIOS INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:YELITZA
Authorized Official - Middle Name:
Authorized Official - Last Name:SANCHEZ-RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MHSA
Authorized Official - Phone:787-757-1800
Mailing Address - Street 1:PO BOX 6021
Mailing Address - Street 2:
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00984-6021
Mailing Address - Country:US
Mailing Address - Phone:787-757-1800
Mailing Address - Fax:787-276-2205
Practice Address - Street 1:HOSPITAL UPR DR FEDERICO TRILLA
Practice Address - Street 2:7200 AVE 65 INFANTERIA
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00985-5575
Practice Address - Country:US
Practice Address - Phone:787-757-1800
Practice Address - Fax:787-276-2205
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-12
Last Update Date:2023-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
207Q00000X, 207R00000X, 207RG0300X, 2085B0100X, 2085D0003X, 2085P0229X, 2085R0202X, 2085U0001X, 282N00000X
PR14282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes282N00000XHospitalsGeneral Acute Care Hospital
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric MedicineGroup - Multi-Specialty
No2085B0100XAllopathic & Osteopathic PhysiciansRadiologyBody ImagingGroup - Multi-Specialty
No2085D0003XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic NeuroimagingGroup - Multi-Specialty
No2085P0229XAllopathic & Osteopathic PhysiciansRadiologyPediatric RadiologyGroup - Multi-Specialty
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Multi-Specialty
No2085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic UltrasoundGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR62308POtherCIGNA PPO
PR=========OtherAETNA
PR=========OtherFONDO CATASTROFICO
PR=========OtherASOCIACION DE MAESTROS
PR=========OtherBSEP
PR=========OtherMAPFRE
PR=========OtherCHAMPUS/CHAMPVA
PR5001471OtherACAA
PR5000357OtherHUMANA HEALTH PLAN
PR62308POtherCIGNA EPO
PR660537624OtherINERNATIONAL MED. CARD
PR9840014OtherHUMANA INS GROUP
PR=========OtherBLUE CROSS BLUE SHIELD
PR=========OtherHEALTHCARE MANAGMENT
PR=========OtherFSE