Provider Demographics
NPI:1932878121
Name:ASOCIACION DE MEDICOS DE PR MS INC
Entity Type:Organization
Organization Name:ASOCIACION DE MEDICOS DE PR MS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MERVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:SANCHEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-314-6625
Mailing Address - Street 1:URB MONTE CLARO CLARO MA 36
Mailing Address - Street 2:URB MONTE CLARO CLARO MA 36
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00961
Mailing Address - Country:US
Mailing Address - Phone:787-314-6825
Mailing Address - Fax:
Practice Address - Street 1:URB MONTE CLARO CLARO MA 36
Practice Address - Street 2:URB MONTE CLARO CLARO MA 36
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00961
Practice Address - Country:US
Practice Address - Phone:787-314-6825
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-10
Last Update Date:2021-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes302R00000XManaged Care OrganizationsHealth Maintenance OrganizationGroup - Single Specialty
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service