1568411866 NPI number — OSCAR J. RIVERA MARRERO

Table of content: (NPI 1568411866)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1568411866 NPI number — OSCAR J. RIVERA MARRERO

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
OSCAR J. RIVERA MARRERO
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:
OR AMBULANCE SERVICES
Provider Other Organization Name Type Code:
3
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:
1568411866
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
243 CALLE PARIS
Provider Second Line Business Mailing Address:
SUITE 1650
Provider Business Mailing Address City Name:
HATO REY
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00917-3632
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-453-2870
Provider Business Mailing Address Fax Number:
787-726-4413

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
URB. MONTE CARLOS CALLE A-9 LAS FLORES
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
VEGA BAJA
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00693
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-453-2870
Provider Business Practice Location Address Fax Number:
787-726-4413
Provider Enumeration Date:
05/06/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
RIVERA
Authorized Official First Name:
OSCAR
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
787-453-2870

Provider Taxonomy Codes

  • Taxonomy code: 3416L0300X , with the licence number:  TC AMB 335 , 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)