1063220234 NPI number — RTS SERVICES UNLIMITED IV, LLC

Table of content: MRS. ANA M RODRIGUEZ-CRUZ BSM (NPI 1962503029)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1063220234 NPI number — RTS SERVICES UNLIMITED IV, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
RTS SERVICES UNLIMITED IV, LLC
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:
1063220234
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/20/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 12455
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ST THOMAS
Provider Business Mailing Address State Name:
VI
Provider Business Mailing Address Postal Code:
00801-8455
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7200 REGATTA PT UNIT 7D
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ST THOMAS
Provider Business Practice Location Address State Name:
VI
Provider Business Practice Location Address Postal Code:
00802-2717
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
340-777-7900
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/20/2024

Additional Information

Authorized Official

Authorized Official Last Name:
RICHARDS
Authorized Official First Name:
MELIN DA
Authorized Official Middle Name:
D
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
404-583-4940

Provider Taxonomy Codes

  • Taxonomy code: 3747P1801X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 374U00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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





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