| Organization Name: | GRUPO MEDICO SERVICIOS MEDICOS RUM |
| NPI Number: | 1700115532 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JORGE I RIVERA SANTOS (CHANCELLOR) |
| Mailing Address: | 259 Alfonso Valdezblvd. Mayaguez |
| State: | PR US |
| Postal Code: | 00680 |
| Phone Number: | 7872653865 |
| Fax Number: | 7878343031 |
| NPI Enumeration Date: | 12/07/2009 |
| NPI Last Update Date: | 12/07/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |