1326271966 NPI number — MEDIC SHUTTLE CORPORATION

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 1326271966 NPI number — MEDIC SHUTTLE CORPORATION

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MEDIC SHUTTLE CORPORATION
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:
1326271966
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/31/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1353 AVE LUIS VIGOREAUX
Provider Second Line Business Mailing Address:
PMB 677
Provider Business Mailing Address City Name:
GUAYNABO
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00966-2715
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-599-5417
Provider Business Mailing Address Fax Number:
787-273-7193

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
628 AVE ESCORIAL
Provider Second Line Business Practice Location Address:
CAPARRA HEIGHTS
Provider Business Practice Location Address City Name:
SAN JUAN
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00920-4719
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-599-5417
Provider Business Practice Location Address Fax Number:
787-273-7193
Provider Enumeration Date:
08/31/2009

Additional Information

Authorized Official

Authorized Official Last Name:
RIVERA
Authorized Official First Name:
SHIRLEY
Authorized Official Middle Name:
ANN
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
787-599-5417

Provider Taxonomy Codes

  • Taxonomy code: 343900000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





Copyright © 2007-2025 www.npivalidator.com