1598793580 NPI number — CUERPO DE VOLUNTARIOS DE SERVICIOS MEDICOS DE EMERGENCIAS INC

Table of content: (NPI 1598793580)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1598793580 NPI number — CUERPO DE VOLUNTARIOS DE SERVICIOS MEDICOS DE EMERGENCIAS INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CUERPO DE VOLUNTARIOS DE SERVICIOS MEDICOS DE EMERGENCIAS INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
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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:
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NPI Number Information

NPI Number:
1598793580
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/14/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 1290
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HATILLO
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00659-1290
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-262-1686
Provider Business Mailing Address Fax Number:
787-898-6132

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
COLISEO MUNICIPAL DE HATILLO
Provider Second Line Business Practice Location Address:
CARR#2 KM 87.1 OFICINA #21
Provider Business Practice Location Address City Name:
HATILLO
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00659
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-262-1686
Provider Business Practice Location Address Fax Number:
787-898-6132
Provider Enumeration Date:
06/29/2006

Additional Information

Authorized Official

Authorized Official Last Name:
BARRIOS
Authorized Official First Name:
MARILI
Authorized Official Middle Name:
Authorized Official Title or Position:
ADMINISTRATIVE SUPERVISOR
Authorized Official Telephone Number:
787-898-6132

Provider Taxonomy Codes

  • Taxonomy code: 3416L0300X , with the licence number:  TCAMB155 , 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)

  • Identifier: HS321A . This is a "MEDICARE ID-TYPE UNSPECIFIED" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".




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