Organization Name: | WEST MEDICAL INTEGRATED SERVICES, PSC |
NPI Number: | 1811206154 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PEDRO A MARIANI (PRESIDENT) |
Mailing Address: | Carr 101 Km 16.2 Las Arenas Boqueron |
State: | PR US |
Postal Code: | 00622 |
Phone Number: | 7872552775 |
Fax Number: | 7872541920 |
NPI Enumeration Date: | 10/05/2010 |
NPI Last Update Date: | 10/05/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 15181 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |