Provider Demographics
NPI:1063806008
Name:NRMD HEALTH PROVIDERS PSC
Entity type:Organization
Organization Name:NRMD HEALTH PROVIDERS PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:E
Authorized Official - Last Name:NARVAEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-727-8227
Mailing Address - Street 1:PO BOX 19237
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00910-1237
Mailing Address - Country:US
Mailing Address - Phone:787-722-8227
Mailing Address - Fax:787-728-4163
Practice Address - Street 1:1801 AVE PONCE DE LEON
Practice Address - Street 2:SUITE 206 SANTURCE MEDICAL MALL
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00909-1900
Practice Address - Country:US
Practice Address - Phone:787-727-8227
Practice Address - Fax:787-728-4163
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-27
Last Update Date:2015-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty