Provider Demographics
NPI:1255750204
Name:SERVICIOS QUIRURGICOS DEL CARIBE, P.S.C
Entity type:Organization
Organization Name:SERVICIOS QUIRURGICOS DEL CARIBE, P.S.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TRINA
Authorized Official - Middle Name:P
Authorized Official - Last Name:STELJES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-834-7740
Mailing Address - Street 1:PO BOX 3149
Mailing Address - Street 2:MARINA STATION
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00681-3149
Mailing Address - Country:US
Mailing Address - Phone:787-834-7740
Mailing Address - Fax:787-652-4525
Practice Address - Street 1:#349 AVE. HOSTOS CARR. 2
Practice Address - Street 2:MEDICAL EMPORIUM II SUITE A-24
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00680
Practice Address - Country:US
Practice Address - Phone:787-834-7740
Practice Address - Fax:787-652-4525
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-07
Last Update Date:2014-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR17770261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty