Provider Demographics
NPI:1962807453
Name:HA MEDICAL SERVICES PSC
Entity type:Organization
Organization Name:HA MEDICAL SERVICES PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:HARLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:ARRAUT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-810-7515
Mailing Address - Street 1:PO BOX 4145
Mailing Address - Street 2:
Mailing Address - City:PUERTO REAL
Mailing Address - State:PR
Mailing Address - Zip Code:00740-4145
Mailing Address - Country:US
Mailing Address - Phone:787-478-2336
Mailing Address - Fax:
Practice Address - Street 1:222 AVE B
Practice Address - Street 2:SANTA ISIDRA I
Practice Address - City:FAJARDO
Practice Address - State:PR
Practice Address - Zip Code:00738-4978
Practice Address - Country:US
Practice Address - Phone:787-478-2336
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-27
Last Update Date:2014-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty