Organization Name: | MEDICAL STAR SERVICES INC |
NPI Number: | 1063761153 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANGEL L SENQUIZ (PRESIDENT) |
Mailing Address: | U-25 Urb. Ciudad Universitaria Carr. 846 Trujillo Alto |
State: | PR US |
Postal Code: | 009762209 |
Phone Number: | 7876074192 |
Fax Number: | |
NPI Enumeration Date: | 09/05/2012 |
NPI Last Update Date: | 09/05/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM1300X |
License Number: | 5367 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Multi-Specialty |
Taxonomy Definition: |