Organization
GRUPO MEDICO SERVICIOS MEDICOS RUM
Active
Parent organization
RECINTO UNIVERSITARIO DE MAYAGUEZ
Other names
DSM Recinto Universitario de Mayaguez
Organization subpart
Yes
Provider details
NPI number
Legal business name
RECINTO UNIVERSITARIO DE MAYAGUEZ
Authorized official
DR. JORGE I RIVERA SANTOS PHD (CHANCELLOR)
(787) 832-4040
Entity
Organization
Contact information
Practice address
259 ALFONSO VALDEZBLVD., MAYAGUEZ, PR 00680
(787) 265-3865
(787) 834-3031
Mailing address
PO BOX 9039, MAYAGUEZ, PR 00681-9039
(787) 265-3865
(787) 834-3031
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1134244577
NPI FOR THE FACILITY AND LABORATORY SERVICIES
—
Enumeration date
12/07/2009
Last updated
12/07/2009
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