Organization Name: | LUQUILLO MEDICAL SERVICES LLC |
NPI Number: | 1922403773 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOSE R PENA FIGUEROA (DIRECTOR MEDICO) |
Mailing Address: | #159 Calle 14 De Julio Luquillo |
State: | PR US |
Postal Code: | 00773 |
Phone Number: | 7875007753 |
Fax Number: | 7875007754 |
NPI Enumeration Date: | 10/22/2014 |
NPI Last Update Date: | 06/16/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QE0002X |
License Number: | 950313 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Emergency Care |
Taxonomy Definition: |