Provider Demographics
NPI:1770883456
Name:PEDIATRIC & EMERGENCY MEDICAL SERVICES P.S.C.
Entity type:Organization
Organization Name:PEDIATRIC & EMERGENCY MEDICAL SERVICES P.S.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RUBEN
Authorized Official - Middle Name:
Authorized Official - Last Name:MENDEZ BENABE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-946-1863
Mailing Address - Street 1:PO BOX 1379
Mailing Address - Street 2:
Mailing Address - City:AIBONITO
Mailing Address - State:PR
Mailing Address - Zip Code:00705-1379
Mailing Address - Country:US
Mailing Address - Phone:787-735-8001
Mailing Address - Fax:
Practice Address - Street 1:CARR. 726 CALLE VILLA ROSALES
Practice Address - Street 2:BO. CAONILLAS
Practice Address - City:AIBONITO
Practice Address - State:PR
Practice Address - Zip Code:00705
Practice Address - Country:US
Practice Address - Phone:787-735-8001
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-27
Last Update Date:2010-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty