Provider Demographics
NPI:1528525771
Name:INTERNATIONAL MEDICAL SOLUTION LLC
Entity type:Organization
Organization Name:INTERNATIONAL MEDICAL SOLUTION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MANUEL
Authorized Official - Middle Name:ANTONIO
Authorized Official - Last Name:PLACER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-504-9998
Mailing Address - Street 1:PO BOX 3825
Mailing Address - Street 2:
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00970-3825
Mailing Address - Country:US
Mailing Address - Phone:787-504-9998
Mailing Address - Fax:787-759-8411
Practice Address - Street 1:1 CALLE SANTA ROSA SAN JUAN GARDEN
Practice Address - Street 2:
Practice Address - City:RIO PIEDRAS
Practice Address - State:PR
Practice Address - Zip Code:00926-0092
Practice Address - Country:US
Practice Address - Phone:787-766-0075
Practice Address - Fax:787-759-8411
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-25
Last Update Date:2019-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty