1033112677 NPI number — BETTER LIFE, INC

Table of content: (NPI 1033112677)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1033112677 NPI number — BETTER LIFE, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BETTER LIFE, 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:
1033112677
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/11/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2055 SUITE 1 PMB 209 AVE. ALBIZU CAMPOS
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
AGUADILLA
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00603-6083
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-997-0307
Provider Business Mailing Address Fax Number:
787-997-3071

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
CARR. 107 KM. 0.9 BO. BORINQUEN
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
AGUADILLA
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00603
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-997-3070
Provider Business Practice Location Address Fax Number:
787-997-3071
Provider Enumeration Date:
05/27/2005

Additional Information

Authorized Official

Authorized Official Last Name:
VALENTIN
Authorized Official First Name:
ALEINES
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENTE
Authorized Official Telephone Number:
787-640-8714

Provider Taxonomy Codes

  • Taxonomy code: 332BX2000X , with the licence number:  07P2216 , 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)

  • Identifier: 1033112677 . This is a "HUMANA" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 1033112677 . This is a "SALUD DORADADA CON MEDICARE" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 1033112677 . This is a "COSVI MEDCARE" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 1033112677 . This is a "MCS" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 5-4849 . This is a "TRIPLE S, INC" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 50187 . This is a "PREFERRED MEDICARE CHOICE" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 2561 . This is a "AMERICAN HEALTH MEDICARE" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 840071 . This is a "MEDIACRE Y MUCHO MAS" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".




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