Provider Demographics
NPI:1962950097
Name:CARIBBEAN MED SERVICES CORP
Entity type:Organization
Organization Name:CARIBBEAN MED SERVICES CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL PRACTICE PHYSICIAN
Authorized Official - Prefix:MRS
Authorized Official - First Name:LIDALLI
Authorized Official - Middle Name:
Authorized Official - Last Name:LOPEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-380-7223
Mailing Address - Street 1:2020 VIA CARACOL
Mailing Address - Street 2:URB CAMINO DEL MAR
Mailing Address - City:TOA BAJA
Mailing Address - State:PR
Mailing Address - Zip Code:00949
Mailing Address - Country:US
Mailing Address - Phone:787-380-7223
Mailing Address - Fax:
Practice Address - Street 1:CARR 174 KM 10.2 BO GUARAGUAO
Practice Address - Street 2:LA MORENITA
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00956
Practice Address - Country:US
Practice Address - Phone:787-785-5050
Practice Address - Fax:787-785-5050
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-19
Last Update Date:2016-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty