1679781579 NPI number — PRICARE MEDICAL SERVICES PSC

Table of content: (NPI 1679781579)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1679781579 NPI number — PRICARE MEDICAL SERVICES PSC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PRICARE MEDICAL SERVICES PSC
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:
1679781579
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:
4257 AVE CONSTANCIA
Provider Second Line Business Mailing Address:
VILLA DEL CARMEN
Provider Business Mailing Address City Name:
PONCE
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00716-2117
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-690-6650
Provider Business Mailing Address Fax Number:
787-813-1836

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4257 AVE CONSTANCIA
Provider Second Line Business Practice Location Address:
VILLA DEL CARMEN
Provider Business Practice Location Address City Name:
PONCE
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00716-2117
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-690-6650
Provider Business Practice Location Address Fax Number:
787-813-1836
Provider Enumeration Date:
05/21/2007

Additional Information

Authorized Official

Authorized Official Last Name:
FIGUEROA-GORDIAN
Authorized Official First Name:
JEANNETTE
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
787-690-6650

Provider Taxonomy Codes

  • Taxonomy code: 261QU0200X , with the licence number:  14424 , 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: 4476 . This is a "REGISTER CERTIFIED" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 14424 . This is a "LICENCE" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".




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