OrganizationGrupo Medico Servicios Medicos Rum(<Unavail>)General PracticeAllopathic & Osteopathic PhysiciansPractice Address259 Alfonso Valdezblvd., Mayaguez, PR 00680(787) 265-3865PECOS EnrollmentBased on the most recent information from CMS, provider Grupo Medico Servicios Medicos Rum does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1700115532Provider TypeOrganizationFull NameGrupo Medico Servicios Medicos RumOther Name<Unavail>SubpartYesEnumeration Date12/7/2009Last Updated12/7/2009Contact InformationPractice LocationPractice Address259 Alfonso Valdezblvd., Mayaguez, PR 00680Phone(787) 265-3865Fax(787) 834-3031Mailing LocationMailing AddressPO Box 9039, Mayaguez, PR 00681-9039Phone(787) 265-3865Fax(787) 834-3031Authorized OfficialNameRivera Santos, Jorge I (Chancellor)Phone(787) 832-4040Provider TaxonomiesCodeDescriptionLicenseCode208D00000XPrimaryDescriptionGeneral PracticeAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID1134244577DescriptionOtherIssuerNPI FOR THE FACILITY AND LABORATORY SERVICIES