Basic Information
| Provider Information | |||||||||
| NPI: | 1508805961 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | HEMAPATH SERVICES | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 33098 | ||||||||
| Address2: | |||||||||
| City: | SAN JUAN | ||||||||
| State: | PR | ||||||||
| PostalCode: | 009333098 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7874037388 | ||||||||
| FaxNumber: | 7878805234 | ||||||||
| Practice Location | |||||||||
| Address1: | C20 CALLE 1 | ||||||||
| Address2: | VILLAS DEL PILAR | ||||||||
| City: | SAN JUAN | ||||||||
| State: | PR | ||||||||
| PostalCode: | 009265448 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7874037388 | ||||||||
| FaxNumber: | 7878805234 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/04/2006 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | CONDE | ||||||||
| AuthorizedOfficialFirstName: | DANIEL | ||||||||
| AuthorizedOfficialMiddleName: | |||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 7874037388 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 174400000X | 13238 | PR | Y | 193400000X SINGLE SPECIALTY GROUP | Other Service Providers | Specialist |
No ID Information.