Provider Demographics
NPI:1366581969
Name:PATIENT MEDICAL SERVICES (PMS) INC.
Entity type:Organization
Organization Name:PATIENT MEDICAL SERVICES (PMS) INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:OLGA
Authorized Official - Middle Name:ELENA
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-608-2288
Mailing Address - Street 1:3409 AVE ISLA VERDE APT 401
Mailing Address - Street 2:3204 AVENIDA ISLA VERDE
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00979-4911
Mailing Address - Country:US
Mailing Address - Phone:787-608-2288
Mailing Address - Fax:
Practice Address - Street 1:CALLE TAPIA 516 NO.2
Practice Address - Street 2:
Practice Address - City:SANTURCE
Practice Address - State:PR
Practice Address - Zip Code:00915
Practice Address - Country:US
Practice Address - Phone:787-608-2288
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR57580OtherMEDICARE OPTIMO-TRIPLE S
PRDME069OtherPREFERRED HEALTH
PR9501124OtherLA CRUZ AZUL
PR2394OtherAMERICAN HEALTH MEDICARE
PR2394OtherAMERICAN HEALTH MEDICARE
PR9501124OtherLA CRUZ AZUL
PR5135370001Medicare NSC