Provider Demographics
NPI:1053561712
Name:SERVICIOS SPL DE SALUD
Entity type:Organization
Organization Name:SERVICIOS SPL DE SALUD
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PLANNING AND DEVELOPMENT DIREC
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:GUZMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MSN -ADMINISTRA
Authorized Official - Phone:787-753-8095
Mailing Address - Street 1:121 CALLE ATENAS
Mailing Address - Street 2:EXTENSION FOREST HILL
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00959-5603
Mailing Address - Country:US
Mailing Address - Phone:787-771-4700
Mailing Address - Fax:787-771-4700
Practice Address - Street 1:121 CALLE ATENAS
Practice Address - Street 2:EXTENSION FOREST HILL
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00959-5603
Practice Address - Country:US
Practice Address - Phone:787-771-4700
Practice Address - Fax:787-771-4700
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-30
Last Update Date:2016-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
3336C0002X, 3336I0012X
PR18-F-26723336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336C0002XSuppliersPharmacyClinic Pharmacy
No3336I0012XSuppliersPharmacyInstitutional Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2129834OtherPK