Provider Demographics
NPI:1154581072
Name:MED SURG CORP
Entity type:Organization
Organization Name:MED SURG CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:R
Authorized Official - Last Name:POLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-473-2333
Mailing Address - Street 1:PO BOX 1371
Mailing Address - Street 2:
Mailing Address - City:SAINT JUST
Mailing Address - State:PR
Mailing Address - Zip Code:00978-1371
Mailing Address - Country:US
Mailing Address - Phone:787-473-2333
Mailing Address - Fax:787-721-1688
Practice Address - Street 1:5G-10 RIBERAS DEL RIO DEVELOPMENT
Practice Address - Street 2:
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00969
Practice Address - Country:US
Practice Address - Phone:787-473-2333
Practice Address - Fax:787-721-1688
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-13
Last Update Date:2008-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies