Provider Demographics
NPI:1255595476
Name:PEREIRA MEDICAL SYSTEM INC
Entity type:Organization
Organization Name:PEREIRA MEDICAL SYSTEM INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENTA
Authorized Official - Prefix:
Authorized Official - First Name:LUDY
Authorized Official - Middle Name:E
Authorized Official - Last Name:REYES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-703-0508
Mailing Address - Street 1:918 CALLE CINDYA
Mailing Address - Street 2:URB ELENCANTO
Mailing Address - City:JUNCOS
Mailing Address - State:PR
Mailing Address - Zip Code:00777-7761
Mailing Address - Country:US
Mailing Address - Phone:787-703-0508
Mailing Address - Fax:787-747-5389
Practice Address - Street 1:BS 2 CALLE GUARIONEX APT 3
Practice Address - Street 2:URB RESID BAIROA
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725-1430
Practice Address - Country:US
Practice Address - Phone:787-703-0508
Practice Address - Fax:787-747-5389
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-16
Last Update Date:2008-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR21398913416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport