Provider Demographics
NPI:1750699187
Name:APPLIED MEDICAL CARE, LLC
Entity type:Organization
Organization Name:APPLIED MEDICAL CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:GABRIEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:RIVERO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-236-2818
Mailing Address - Street 1:PO BOX 3047
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00960-3047
Mailing Address - Country:US
Mailing Address - Phone:787-236-2818
Mailing Address - Fax:787-859-1723
Practice Address - Street 1:URB. SANFELIZ CALLE 1 #1
Practice Address - Street 2:SUITE 2A AND 2B
Practice Address - City:COROZAL
Practice Address - State:PR
Practice Address - Zip Code:00783
Practice Address - Country:US
Practice Address - Phone:787-236-2818
Practice Address - Fax:787-859-1723
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-20
Last Update Date:2011-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)