1104141480 NPI number — ALIANZA NUEVA TRANSPORT INC.

Table of content: MS. CLAUDIA E. VOGL L.C.S.W. (NPI 1316919749)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1104141480 NPI number — ALIANZA NUEVA TRANSPORT INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ALIANZA NUEVA TRANSPORT 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:
1104141480
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/30/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 4053
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
VEGA BAJA
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00694-4053
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-702-5479
Provider Business Mailing Address Fax Number:
787-702-5479

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
HACIENDA TORTUGUERO C JUAN PIZA #6
Provider Second Line Business Practice Location Address:
CARR. 687 KM 4.4
Provider Business Practice Location Address City Name:
VEGA BAJA
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00693
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-702-5479
Provider Business Practice Location Address Fax Number:
787-702-5479
Provider Enumeration Date:
03/30/2010

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
ARROYO COLON
Authorized Official First Name:
SANDY
Authorized Official Middle Name:
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
787-702-5479

Provider Taxonomy Codes

  • Taxonomy code: 3416L0300X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 341600000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: S10200TCAMB . This is a "CSP" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".