Provider Demographics
NPI:1447915004
Name:VA FOREIGN MEDICAL SERVICES
Entity type:Organization
Organization Name:VA FOREIGN MEDICAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:MARTIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:809-320-7735
Mailing Address - Street 1:SDQ 647640 2250 N W 114TH AVE UNIT 1A
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33192-0001
Mailing Address - Country:US
Mailing Address - Phone:737-781-4120
Mailing Address - Fax:
Practice Address - Street 1:CALLE EL MORROW, ESQ. PRESIDENTE VASQUEZE.#56
Practice Address - Street 2:
Practice Address - City:PUERTO PLATA
Practice Address - State:DOMINICAN RTEPUBLIC
Practice Address - Zip Code:57021
Practice Address - Country:DO
Practice Address - Phone:809-320-7735
Practice Address - Fax:980-216-6020
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-08
Last Update Date:2021-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No2251H1300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistHuman FactorsGroup - Multi-Specialty
No261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health
No261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
No302F00000XManaged Care OrganizationsExclusive Provider OrganizationGroup - Multi-Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No3336C0002XSuppliersPharmacyClinic Pharmacy