Organization Name: | RASB MEDICAL SERVICES PSC |
NPI Number: | 1184907446 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RAFAEL A SOTO BERMUDEZ (PRESIDENTE) |
Mailing Address: | Avenida Boulevard 3626 Tercera Seccion Levittown Toa Baja |
State: | PUERTO RICO UM |
Postal Code: | 00946 |
Phone Number: | 7877847200 |
Fax Number: | 7877610613 |
NPI Enumeration Date: | 09/23/2011 |
NPI Last Update Date: | 09/23/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 13921 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |