Provider Demographics
NPI:1265812887
Name:ADVANCE MEDICAL & ADMINISTRATION SERVICES, CORP
Entity type:Organization
Organization Name:ADVANCE MEDICAL & ADMINISTRATION SERVICES, CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RICARDO
Authorized Official - Middle Name:
Authorized Official - Last Name:RIVERA GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:SR
Authorized Official - Phone:787-473-5363
Mailing Address - Street 1:PO BOX 9899
Mailing Address - Street 2:PLAZA CAROLINA STATION
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00988-9899
Mailing Address - Country:US
Mailing Address - Phone:787-473-5363
Mailing Address - Fax:
Practice Address - Street 1:A25 CIUDAD JARDIN II
Practice Address - Street 2:
Practice Address - City:CANOVANAS
Practice Address - State:PR
Practice Address - Zip Code:00729-0000
Practice Address - Country:US
Practice Address - Phone:787-473-5363
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-09
Last Update Date:2015-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0002XAmbulatory Health Care FacilitiesClinic/CenterEmergency Care