Provider Demographics
NPI:1881789444
Name:TRANSNERVE MEDICAL SERVICES, CORP
Entity type:Organization
Organization Name:TRANSNERVE MEDICAL SERVICES, CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENTE
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:VEGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-886-3900
Mailing Address - Street 1:P.O.BOX 4956
Mailing Address - Street 2:PMB 2188
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00726-4956
Mailing Address - Country:US
Mailing Address - Phone:787-886-3900
Mailing Address - Fax:787-886-3900
Practice Address - Street 1:URB. VILLAS DE LOIZA
Practice Address - Street 2:FARMACIA MEDINA 2
Practice Address - City:CANOVANAS
Practice Address - State:PR
Practice Address - Zip Code:00629
Practice Address - Country:US
Practice Address - Phone:787-886-3900
Practice Address - Fax:787-886-3900
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4300174400000X
PR14762207Q00000X
PR15760208D00000X
PR041213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Not Answered207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Not Answered208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty
Not Answered213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0089160Medicare ID - Type Unspecified