Active NPIOrganization

Eastern Surgical Group Psc

Specialist in Fajardo, Puerto Rico

NPI Number1477841864
Practice location
Ave General Valero # 410, Torre Medica 403, Fajardo, PR 00738-3949
Fax
787-801-0721
Last updated
September 1, 2011

Eastern Surgical Group Psc is a healthcare organization based in Fajardo, PR. Eastern Surgical Group Psc practices in Fajardo, PR. The NPI Number for Eastern Surgical Group Psc is 1477841864 and holds a License No. 18210 (PR). The current practice location address for Eastern Surgical Group Psc is Ave General Valero # 410, Torre Medica 403, Fajardo, PR 00738-3949 and can be reached out via phone at 787-655-4006 and via fax at 787-801-0721.

Provider Profile Details

NPI Number
1477841864
Provider Name
Eastern Surgical Group Psc
Provider Entity Type
Organization
Address
Ave General Valero # 410, Torre Medica 403, Fajardo, PR 00738-3949
Phone Number
787-655-4006
Fax Number
787-801-0721
Primary Taxonomy
Specialist · 174400000X
Organization Subpart
No
Authorized Official
Dr. Miguel A De Jesus Ramos, MD · President · 787-655-4006
Provider Enumeration Date
July 19, 2011
Last Update Date
September 1, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
Ave General Valero # 410
Torre Medica 403
Fajardo, PR 00738-3949
Zip
00738-3949
Phone Number
787-655-4006
Fax Number
787-801-0721
Fajardo, PR 00738Get directions →

Provider Business Mailing Address Details

Address
Ave General Valero # 410
Torre Medica 403
Fajardo, PR 00738-3949
City
Fajardo
State
PR
Zip
00738-3949
Phone Number
787-655-4006
Fax Number
787-801-0721

License Information

License Number (1)
18210
License State (1)
PR
Taxonomy (1)
Specialist · 174400000X
License Number (2)
12253
License State (2)
PR
Taxonomy (2)
Specialist · 174400000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Eastern Surgical Group Psc?

The NPI number of Eastern Surgical Group Psc is 1477841864. It was assigned on July 19, 2011 and is currently active in the NPPES registry.

What is the specialty of Eastern Surgical Group Psc?

Eastern Surgical Group Psc is registered under the primary taxonomy Specialist (code 174400000X), licensed in PR under license number 18210.

Where does Eastern Surgical Group Psc practice?

The practice location is Ave General Valero # 410, Torre Medica 403, Fajardo, PR 00738-3949. The office can be reached at 787-655-4006 (phone) or 787-801-0721 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1477841864 directly on the NPPES registry website.

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