Provider Demographics
NPI:1811771686
Name:PHILIPPINE MEDICAL AND DENTAL REFERRAL SERVICES LLC
Entity type:Organization
Organization Name:PHILIPPINE MEDICAL AND DENTAL REFERRAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ANNA LOU
Authorized Official - Middle Name:CARANAY
Authorized Official - Last Name:GARCES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:671-489-5433
Mailing Address - Street 1:428 CHALAN SAN ANTONIO
Mailing Address - Street 2:
Mailing Address - City:TAMUNING
Mailing Address - State:GU
Mailing Address - Zip Code:96913-3601
Mailing Address - Country:US
Mailing Address - Phone:671-637-5433
Mailing Address - Fax:671-633-5433
Practice Address - Street 1:ST. LUKE'S MEDICAL CENTER GLOBAL CITY
Practice Address - Street 2:32ND ST. COR 5TH AVE. BONIFACIO GLOBAL CITY
Practice Address - City:TAGUIG
Practice Address - State:PHILIPPINES
Practice Address - Zip Code:163444
Practice Address - Country:PH
Practice Address - Phone:632-789-7700
Practice Address - Fax:632-789-7700
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-23
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital