Organization
ID SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FELIX RUIZ ALVAREZ M.D. (PRESIDENT)
(787) 785-3790
Entity
Organization
Contact information
Practice address
73 CALLE SANTA CRUZ, EDIFICIO MEDICO SANTA CRUZ OFICINA 107 B, BAYAMON, PR 00961
(787) 785-3790
(787) 294-6843
Mailing address
PO BOX 8156, BAYAMON, PR 00960-8156
(787) 785-3790
(787) 294-6843
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
11893
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11893
LICENSE
PR
Enumeration date
05/05/2014
Last updated
05/05/2014
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