# OCEANSIDE MEDICAL SERVICES CORP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881889947
- **Authorized official:** DR. IBELITH MIRANDA (DUENO)
- **Authorized official phone:** (787) 830-5914

## Contact information

- **Practice address:** EDIFICIO PLAZA DEL MAR CARR 459 KM 11.4, ISABELA, PR 00662
- **Practice address phone:** (787) 830-5914
- **Practice address fax:** (787) 877-2145
- **Mailing address:** 3107 CALLE BERMUDA, UBR ISLAZUL, ISABELA, PR 00662-6354
- **Mailing address phone:** (787) 830-5914
- **Mailing address fax:** (787) 877-2145

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 16169 | PR | Yes |

## Other

- **Enumeration date:** 09/12/2007
- **Last updated:** 09/12/2007