Provider Demographics
NPI:1629449079
Name:PRIORITY CARE SERVICES LLC
Entity type:Organization
Organization Name:PRIORITY CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENTE
Authorized Official - Prefix:
Authorized Official - First Name:ANGEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:ABAD MARTINEZ
Authorized Official - Suffix:SR
Authorized Official - Credentials:ENFERMERO GRADUADO
Authorized Official - Phone:787-220-1923
Mailing Address - Street 1:PO BOX 20391
Mailing Address - Street 2:CARR 179 R844 INT CMINO LOS CASTRO CARRAIZO ALTO
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00928-0391
Mailing Address - Country:US
Mailing Address - Phone:787-220-1923
Mailing Address - Fax:787-766-6938
Practice Address - Street 1:R844 CARR 176 INT
Practice Address - Street 2:CAM LOS CASTRO CARRAIZO
Practice Address - City:TRUJILOLO ALTO
Practice Address - State:PR
Practice Address - Zip Code:00976
Practice Address - Country:US
Practice Address - Phone:787-220-1923
Practice Address - Fax:787-766-6938
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-12
Last Update Date:2017-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home
No251J00000XAgenciesNursing Care