1386930972 NPI number — AMERICAN HEALTH ADMINISTRATION SERVICES INC

Table of content: (NPI 1386930972)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1386930972 NPI number — AMERICAN HEALTH ADMINISTRATION SERVICES INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
AMERICAN HEALTH ADMINISTRATION SERVICES 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:
1386930972
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/22/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 8284
Provider Second Line Business Mailing Address:
FERNANDEZ JUNCOS STATION
Provider Business Mailing Address City Name:
SAN JUAN
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00910-0284
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:
MARGINAL MARTINEZ NADAL EDIFICIO QOANTUM
Provider Second Line Business Practice Location Address:
SUITE 1 A
Provider Business Practice Location Address City Name:
SAN JUAN
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00910
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-236-3760
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/22/2011

Additional Information

Authorized Official

Authorized Official Last Name:
RAMOS ALVAREZ
Authorized Official First Name:
ESTEBAN
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENTE
Authorized Official Telephone Number:
787-236-3760

Provider Taxonomy Codes

  • Taxonomy code: 174400000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 0029078 . This is a "0029078" identifier . This identifiers is of the category "OTHER".




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