Provider Demographics
NPI:1932815214
Name:ADVANCED MEDICS LLC
Entity Type:Organization
Organization Name:ADVANCED MEDICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:SEGUNDO
Authorized Official - Middle Name:JAIME
Authorized Official - Last Name:GONZALEZ ESCOLA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:917-836-4035
Mailing Address - Street 1:PO BOX 244
Mailing Address - Street 2:
Mailing Address - City:ARECIBO
Mailing Address - State:PR
Mailing Address - Zip Code:00613-0244
Mailing Address - Country:US
Mailing Address - Phone:917-836-4035
Mailing Address - Fax:954-656-0108
Practice Address - Street 1:CALLE S #1 URBANIZACION VILLA LOS SANTOS
Practice Address - Street 2:
Practice Address - City:ARECIBO
Practice Address - State:FL
Practice Address - Zip Code:00612
Practice Address - Country:US
Practice Address - Phone:917-836-4035
Practice Address - Fax:954-656-0108
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-30
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service