1831457688 NPI number — PROYECTO OAIS DE AMOR, INC.

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 1831457688 NPI number — PROYECTO OAIS DE AMOR, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PROYECTO OAIS DE AMOR, 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:
1831457688
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/30/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
ZF15 CALLE 33
Provider Second Line Business Mailing Address:
URB RIVERVIEW
Provider Business Mailing Address City Name:
BAYAMON
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00961-3939
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
939-717-8868
Provider Business Mailing Address Fax Number:
787-786-6375

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
ZF15 CALLE 33
Provider Second Line Business Practice Location Address:
URB RIVERVIEW
Provider Business Practice Location Address City Name:
BAYAMON
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00961-3939
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
939-717-8868
Provider Business Practice Location Address Fax Number:
787-786-6375
Provider Enumeration Date:
04/30/2012

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
FELICIER
Authorized Official First Name:
MARIA
Authorized Official Middle Name:
V
Authorized Official Title or Position:
EXECUTIVE DIRECTOR
Authorized Official Telephone Number:
939-717-8868

Provider Taxonomy Codes

  • Taxonomy code: 261QR0405X , with the licence number:  PC 02 , 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)