Organization Name: | EASTERN INDUSTRIAL MEDICAL SERVICES |
NPI Number: | 1043567068 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAVID FIGUEROA (PRESIDENT) |
Mailing Address: | Aa3 Ave Tejas Frente Upr Humacao |
State: | PR US |
Postal Code: | 007914351 |
Phone Number: | 7872853919 |
Fax Number: | 7872853919 |
NPI Enumeration Date: | 08/08/2012 |
NPI Last Update Date: | 08/08/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | 13148 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |