Provider Demographics
NPI:1245634500
Name:QC MEDICAL SERVICES INC
Entity type:Organization
Organization Name:QC MEDICAL SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:EDGAR
Authorized Official - Middle Name:N
Authorized Official - Last Name:QUINTERO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-648-0001
Mailing Address - Street 1:PO BOX 2379
Mailing Address - Street 2:
Mailing Address - City:CANOVANAS
Mailing Address - State:PR
Mailing Address - Zip Code:00729-2379
Mailing Address - Country:US
Mailing Address - Phone:787-648-0001
Mailing Address - Fax:787-256-5454
Practice Address - Street 1:CARR #3 KM 19.9
Practice Address - Street 2:EAST MEDICAL PROFESSIONAL CENTER
Practice Address - City:CANOVANAS
Practice Address - State:PR
Practice Address - Zip Code:00729-2379
Practice Address - Country:US
Practice Address - Phone:787-648-0001
Practice Address - Fax:787-256-5454
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-15
Last Update Date:2014-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR10100208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty