Provider Demographics
NPI:1639679012
Name:NRMD HEALTH PROVIDERS LLC
Entity type:Organization
Organization Name:NRMD HEALTH PROVIDERS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:E
Authorized Official - Last Name:NARVAEZ RIVERA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-638-8410
Mailing Address - Street 1:PO BOX 19237
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00910-1237
Mailing Address - Country:US
Mailing Address - Phone:787-995-7098
Mailing Address - Fax:787-995-7140
Practice Address - Street 1:1801 PONCE DE LEON
Practice Address - Street 2:SUITE 101-C SANTURCE MEDICAL MALL
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00909
Practice Address - Country:US
Practice Address - Phone:787-995-7098
Practice Address - Fax:787-995-7140
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-13
Last Update Date:2018-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1370291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory