Provider Demographics
NPI:1336452606
Name:DURAN SURGICAL SERVICES PSC
Entity Type:Organization
Organization Name:DURAN SURGICAL SERVICES PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GERERAL SURGEON
Authorized Official - Prefix:DR
Authorized Official - First Name:NORMANDO
Authorized Official - Middle Name:G
Authorized Official - Last Name:DURAN GUZMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-832-0454
Mailing Address - Street 1:PO BOX 280
Mailing Address - Street 2:
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00681
Mailing Address - Country:US
Mailing Address - Phone:787-832-0454
Mailing Address - Fax:787-265-2144
Practice Address - Street 1:16 OESTE DE DIEGO ST.
Practice Address - Street 2:#102
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00680
Practice Address - Country:US
Practice Address - Phone:787-832-0454
Practice Address - Fax:787-265-2144
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-15
Last Update Date:2014-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRG68037Medicare UPIN