Provider Demographics
NPI:1265204341
Name:MEDICOS UNIDOS POR TU SALUD LLC
Entity type:Organization
Organization Name:MEDICOS UNIDOS POR TU SALUD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:KAREM
Authorized Official - Middle Name:M
Authorized Official - Last Name:ESTEVES MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-972-4040
Mailing Address - Street 1:BZN 1 CALLE ACUARIO 1
Mailing Address - Street 2:URB LOMAS DEL SOL
Mailing Address - City:GURABO PR
Mailing Address - State:PR
Mailing Address - Zip Code:00778-8909
Mailing Address - Country:US
Mailing Address - Phone:787-972-4040
Mailing Address - Fax:
Practice Address - Street 1:120 CALLE MORSE
Practice Address - Street 2:
Practice Address - City:ARROYO
Practice Address - State:PR
Practice Address - Zip Code:00714-2607
Practice Address - Country:US
Practice Address - Phone:787-929-1121
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-23
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty