Provider Demographics
NPI:1245108414
Name:DR MEDICAL SERVICE LLC
Entity type:Organization
Organization Name:DR MEDICAL SERVICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:DR
Authorized Official - First Name:MARALYS
Authorized Official - Middle Name:N
Authorized Official - Last Name:ESPARRA GONZALEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-452-1520
Mailing Address - Street 1:HC 2 BOX 15379
Mailing Address - Street 2:
Mailing Address - City:AIBONITO
Mailing Address - State:PR
Mailing Address - Zip Code:00705-9617
Mailing Address - Country:US
Mailing Address - Phone:787-452-1520
Mailing Address - Fax:
Practice Address - Street 1:12 CALLE JOSE C VAZQUEZ
Practice Address - Street 2:
Practice Address - City:AIBONITO
Practice Address - State:PR
Practice Address - Zip Code:00705-3307
Practice Address - Country:US
Practice Address - Phone:787-452-1520
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-28
Last Update Date:2025-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty