Provider Demographics
NPI:1427481944
Name:WESTERN ORTHOPEDIC SERVICES PSC
Entity type:Organization
Organization Name:WESTERN ORTHOPEDIC SERVICES PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HIRAM
Authorized Official - Middle Name:ENRIQUE
Authorized Official - Last Name:LUIGI SANCHEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-882-4793
Mailing Address - Street 1:PO BOX 5299
Mailing Address - Street 2:
Mailing Address - City:AGUADILLA
Mailing Address - State:PR
Mailing Address - Zip Code:00605-5299
Mailing Address - Country:US
Mailing Address - Phone:787-882-4793
Mailing Address - Fax:787-877-7516
Practice Address - Street 1:550 CALLE CONCEPCION VERA
Practice Address - Street 2:BO. PUEBLO
Practice Address - City:MOCA
Practice Address - State:PR
Practice Address - Zip Code:00676-5005
Practice Address - Country:US
Practice Address - Phone:787-882-4793
Practice Address - Fax:787-877-7516
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-20
Last Update Date:2013-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR7451207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty