Provider Demographics
NPI:1124675582
Name:BLESSING MEDICAL SERVICES LLC
Entity type:Organization
Organization Name:BLESSING MEDICAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LISBETH
Authorized Official - Middle Name:M
Authorized Official - Last Name:REYES MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-288-0903
Mailing Address - Street 1:PO BOX 8534
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00960-8534
Mailing Address - Country:US
Mailing Address - Phone:787-288-0903
Mailing Address - Fax:939-338-0178
Practice Address - Street 1:CARR 174 BLQ 21-25
Practice Address - Street 2:SANTA ROSA
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00959
Practice Address - Country:US
Practice Address - Phone:787-288-0903
Practice Address - Fax:939-338-0178
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-21
Last Update Date:2019-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty