# PUERTO RICO MEDICAL SERVICES, LLC

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

## Provider details

- **NPI number:** 1922050905
- **Authorized official:** MRS. DELFINA ROSA DE LA CRUZ (ADMINISTRATOR)
- **Authorized official phone:** (787) 294-2158

## Contact information

- **Practice address:** 515 AVE HOSTOS, SAN JUAN, PR 00918-3226
- **Practice address phone:** (787) 294-2158
- **Practice address fax:** (787) 764-9445
- **Mailing address:** 515 AVE HOSTOS, SAN JUAN, PR 00918-3232
- **Mailing address phone:** (787) 294-2158
- **Mailing address fax:** (787) 764-9445

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/17/2006
- **Last updated:** 08/22/2020