Provider Demographics
NPI:1134543135
Name:ADVANCED HEALTH SOLUTIONS PSC
Entity type:Organization
Organization Name:ADVANCED HEALTH SOLUTIONS PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BELKLIZ
Authorized Official - Middle Name:YANIRA
Authorized Official - Last Name:TORRES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-946-7799
Mailing Address - Street 1:3214 CALLE RIO GUAYABO
Mailing Address - Street 2:PRADERA DEL RIO
Mailing Address - City:TOA ALTA
Mailing Address - State:PR
Mailing Address - Zip Code:00953-9123
Mailing Address - Country:US
Mailing Address - Phone:787-797-3057
Mailing Address - Fax:787-946-7775
Practice Address - Street 1:CALLE 12 RR-1 OFICINA 101
Practice Address - Street 2:CANA
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00957
Practice Address - Country:US
Practice Address - Phone:787-946-7799
Practice Address - Fax:787-946-7775
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-11
Last Update Date:2014-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR14893261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty