Provider Demographics
NPI:1871602466
Name:SERVICIOS MEDICOS DE AASCO
Entity type:Organization
Organization Name:SERVICIOS MEDICOS DE AASCO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:SANTIAGO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-836-3075
Mailing Address - Street 1:PO BOX 1315
Mailing Address - Street 2:RINCON
Mailing Address - City:RINCON
Mailing Address - State:PR
Mailing Address - Zip Code:00677-1315
Mailing Address - Country:US
Mailing Address - Phone:787-836-3075
Mailing Address - Fax:
Practice Address - Street 1:BOX 1315
Practice Address - Street 2:RINCON
Practice Address - City:RINCON
Practice Address - State:PR
Practice Address - Zip Code:00677-1315
Practice Address - Country:US
Practice Address - Phone:787-836-3075
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-29
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR12567282NR1301X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NR1301XHospitalsGeneral Acute Care HospitalRural