Provider Demographics
NPI:1538037395
Name:DUQUE MEDICAL SERVICES, LLC
Entity type:Organization
Organization Name:DUQUE MEDICAL SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:
Authorized Official - Last Name:ACEVEDO REGO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-864-8594
Mailing Address - Street 1:PO BOX 7061
Mailing Address - Street 2:
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00732-7061
Mailing Address - Country:US
Mailing Address - Phone:787-864-8594
Mailing Address - Fax:787-864-8574
Practice Address - Street 1:CALLE DUQUE # 34 SUR
Practice Address - Street 2:
Practice Address - City:GUAYAMA
Practice Address - State:PR
Practice Address - Zip Code:00784-5506
Practice Address - Country:US
Practice Address - Phone:787-864-8594
Practice Address - Fax:787-864-8574
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-24
Last Update Date:2025-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty