# EMERGENCY DEPARTMENT MEDICAL SERVICES, CSP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** EDMS,CSP
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558589788
- **Authorized official:** DR. CARLOS R ALVAREZ MD MHSA (PRESIDENT)
- **Authorized official phone:** (787) 721-2160

## Contact information

- **Practice address:** 1451 AVE ASHFORD, SAN JUAN, PR 00907-1511
- **Practice address phone:** (787) 725-5613
- **Practice address fax:** (787) 725-5613
- **Mailing address:** ESTANCIAS DE SAN FERNANDO, STREET \#4 B-17, CAROLINA, PR 00985-5213
- **Mailing address phone:** (787) 721-2160
- **Mailing address fax:** (787) 722-8016

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | NULL | Yes |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/23/2007
- **Last updated:** 06/20/2008