# SERVICIOS MEDICOS DE HORMIGUEROS INC

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

## Provider details

- **NPI number:** 1992773980
- **Authorized official:** JOSE M ROVIRA MD (PRESIDENTE)
- **Authorized official phone:** (787) 849-0111

## Contact information

- **Practice address:** CALLE LUIS MUNOZ MARTIN 2, HORMIGUEROS, PR 00660
- **Practice address phone:** (787) 849-0111
- **Practice address fax:** (787) 849-0707
- **Mailing address:** PO BOX 1520, HORMIGUEROS, PR 00660-1520
- **Mailing address phone:** (787) 849-0111
- **Mailing address fax:** (787) 849-0707

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 44 | PR | Yes |
| 261QE0002X | Emergency Care Clinic/Center | 44 | PR | — |
| 261QR0200X | Radiology Clinic/Center | 44 | PR | — |
| 291U00000X | Clinical Medical Laboratory | 740 | PR | — |

## Other

- **Enumeration date:** 03/08/2006
- **Last updated:** 05/15/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 030385 | CRUZ AZUL | — |
| 01 | — | 064740 | GLOBA HEALTH PLAN | — |
| 01 | — | 19169 | BLUE CROSS BLUE SHIELD | — |
| 01 | — | 31321 | TRIPLE S | — |
| 01 | — | 6600016 | HUMANA HEALTH | — |
| 01 | — | 81089 | BLUE CROSS BLUE SHIELD | — |