| Organization Name: | FERSAL PSC |
| NPI Number: | 1043509623 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOSE A FERNANDEZ CHAVEZ (DIRECTOR) |
| Mailing Address: | Avenida Font Martelo Hospital Hima Humacao Num 3 Humacao |
| State: | PR US |
| Postal Code: | 007920000 |
| Phone Number: | 7876562424 |
| Fax Number: | 7879614524 |
| NPI Enumeration Date: | 04/04/2011 |
| NPI Last Update Date: | 04/04/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QI0500X |
| License Number: | 15819 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Infusion Therapy |
| Taxonomy Definition: | |