1932244324 NPI number — ACS GROUP, CORP.

Table of content: (NPI 1932244324)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1932244324 NPI number — ACS GROUP, CORP.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ACS GROUP, CORP.
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:
ACS GROUP, CORP.
Provider Other Organization Name Type Code:
4
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:
1932244324
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/06/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 192655
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SAN JUAN
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00919-2655
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-800-1800
Provider Business Mailing Address Fax Number:
787-800-1800

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
CARR. 678 AA 7
Provider Second Line Business Practice Location Address:
SANTA RITA
Provider Business Practice Location Address City Name:
VEGA ALTA
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00692-6724
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-800-1800
Provider Business Practice Location Address Fax Number:
787-800-1800
Provider Enumeration Date:
02/21/2007

Additional Information

Authorized Official

Authorized Official Last Name:
NADAL
Authorized Official First Name:
JOSE
Authorized Official Middle Name:
RAFAEL
Authorized Official Title or Position:
MEDICAL DIRECTOR
Authorized Official Telephone Number:
787-800-1800

Provider Taxonomy Codes

  • Taxonomy code: 261QH0100X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261QM1300X , with the licence number: 8594 , 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: 1932244324 . This is a "PROVIDER NUMBER" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 4391A . This is a "PROVIDER NUMBER" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".




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