1649505231 NPI number — MUNICIPIO DE MAYAGUEZ

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1649505231 NPI number — MUNICIPIO DE MAYAGUEZ

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MUNICIPIO DE MAYAGUEZ
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:
EMERGENCIAS MEDICAS
Provider Other Organization Name Type Code:
3
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:
1649505231
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/29/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
214 SAN RAFAEL STREET
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MAYAGUEZ
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00680
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-833-8787
Provider Business Mailing Address Fax Number:
787-834-2995

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
214 CALLE SAN RAFAEL
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MAYAGUEZ
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00680-4634
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-833-8787
Provider Business Practice Location Address Fax Number:
787-834-2995
Provider Enumeration Date:
10/15/2009

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
OTERO
Authorized Official First Name:
SHEILA
Authorized Official Middle Name:
Authorized Official Title or Position:
FACTURADORA
Authorized Official Telephone Number:
787-385-7764

Provider Taxonomy Codes

  • Taxonomy code: 341600000X , with the licence number:  TCAMB-418 , 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)