Provider Demographics
NPI:1124499579
Name:MEDICAL SERVICES & CONSULTING CORP
Entity type:Organization
Organization Name:MEDICAL SERVICES & CONSULTING CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JORGE
Authorized Official - Middle Name:YAMIL
Authorized Official - Last Name:REYES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-603-8888
Mailing Address - Street 1:PO BOX 9966
Mailing Address - Street 2:
Mailing Address - City:CIDRA
Mailing Address - State:PR
Mailing Address - Zip Code:00739-8966
Mailing Address - Country:US
Mailing Address - Phone:787-603-8888
Mailing Address - Fax:787-561-7768
Practice Address - Street 1:C5 CALLE VICTOR TORRES LOCAL 1
Practice Address - Street 2:URB VALENCIA II
Practice Address - City:JUNCOS
Practice Address - State:PR
Practice Address - Zip Code:00777
Practice Address - Country:US
Practice Address - Phone:787-561-7768
Practice Address - Fax:787-561-7768
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-12
Last Update Date:2015-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR15602261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center