Provider Demographics
NPI:1700505377
Name:MEDICAL SERVICE LLC
Entity Type:Organization
Organization Name:MEDICAL SERVICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENTE
Authorized Official - Prefix:
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:
Authorized Official - Last Name:GUADALUPE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-604-6563
Mailing Address - Street 1:EST 229 DE LOS ARTESANOS CALLE SERIGRAFIA O- 43
Mailing Address - Street 2:
Mailing Address - City:LAS PIEDRAS
Mailing Address - State:PR
Mailing Address - Zip Code:00771
Mailing Address - Country:US
Mailing Address - Phone:787-604-6563
Mailing Address - Fax:
Practice Address - Street 1:ESTANCIA DE LOS ATESANOS CALLE SERIGRAFIA O-43
Practice Address - Street 2:
Practice Address - City:LAS PIEDRAS
Practice Address - State:PR
Practice Address - Zip Code:00771
Practice Address - Country:US
Practice Address - Phone:787-604-6563
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-25
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport