Provider Demographics
NPI:1174325153
Name:IGLESIAS MEDICAL SERVICE LLC
Entity type:Organization
Organization Name:IGLESIAS MEDICAL SERVICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CRISTIAN
Authorized Official - Middle Name:J
Authorized Official - Last Name:IGLESIAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:939-525-5964
Mailing Address - Street 1:1034 CALLE COBANA NEGRA # B20
Mailing Address - Street 2:
Mailing Address - City:CABO ROJO
Mailing Address - State:PR
Mailing Address - Zip Code:00623-3816
Mailing Address - Country:US
Mailing Address - Phone:939-525-5964
Mailing Address - Fax:
Practice Address - Street 1:1034 CALLE COBANA NEGRA # B20
Practice Address - Street 2:
Practice Address - City:CABO ROJO
Practice Address - State:PR
Practice Address - Zip Code:00623-3816
Practice Address - Country:US
Practice Address - Phone:939-525-5964
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-27
Last Update Date:2025-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport