1386828143 NPI number — CUIDADORES DEL ATLANTICO INC.

Table of content: (NPI 1386828143)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1386828143 NPI number — CUIDADORES DEL ATLANTICO INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CUIDADORES DEL ATLANTICO INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1386828143
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/28/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
BO. COCOS SECTOR EL VERDE CARR #2 KILOMENTRO 99.9 INT
Provider Second Line Business Mailing Address:
HC 02 BOX 10323
Provider Business Mailing Address City Name:
QUEBRADILLAS
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00678
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-347-3242
Provider Business Mailing Address Fax Number:
787-895-6065

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
BO. COCOS SECTOR EL VERDE CARR #2 KILOMENTRO 99.9 INT
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
QUEBRADILLAS
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00678
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-347-3242
Provider Business Practice Location Address Fax Number:
787-895-6065
Provider Enumeration Date:
12/28/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
LUGO
Authorized Official First Name:
GLORIANA
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
787-347-3242

Provider Taxonomy Codes

  • Taxonomy code: 374U00000X , registered in the state of PR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)