1235136490 NPI number — K TORO GARRATON INC

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 1235136490 NPI number — K TORO GARRATON INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
K TORO GARRATON 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:
6
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:
1235136490
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/24/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 8629
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:
00910-0629
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-760-7610
Provider Business Mailing Address Fax Number:
787-760-1590

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
CALLE SANTA CRUZ #28
Provider Second Line Business Practice Location Address:
K. TORO GARRATON INC.
Provider Business Practice Location Address City Name:
BAYAMON
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00961
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-760-7610
Provider Business Practice Location Address Fax Number:
787-760-7610
Provider Enumeration Date:
07/02/2005

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
MUSTAFA
Authorized Official First Name:
IBRAHIM
Authorized Official Middle Name:
Authorized Official Title or Position:
VP SALES
Authorized Official Telephone Number:
787-760-7610

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X , registered in the state of PR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 332BC3200X , registered in the state of NULL ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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