1922326321 NPI number — EASTERN HEALTH TRANSPORT SERVICE INC.

Table of content: (NPI 1922326321)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1922326321 NPI number — EASTERN HEALTH TRANSPORT SERVICE INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
EASTERN HEALTH TRANSPORT SERVICE 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:
6
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:
1922326321
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/10/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
HC5 BOX 4658
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LAS PIEDRAS
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00771
Provider Business Mailing Address Country Code:
UM
Provider Business Mailing Address Telephone Number:
787-376-5735
Provider Business Mailing Address Fax Number:
787-733-3202

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
CAR 198 KM 20 OPT 6
Provider Second Line Business Practice Location Address:
BARRIO QUEBRADA ARENA
Provider Business Practice Location Address City Name:
LAS PIEDRAS
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00771
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-376-5735
Provider Business Practice Location Address Fax Number:
787-733-3202
Provider Enumeration Date:
05/10/2010

Additional Information

Authorized Official

Authorized Official Last Name:
SANABRIA MELENDEZ
Authorized Official First Name:
YOLANDA
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENTA
Authorized Official Telephone Number:
787-376-5735

Provider Taxonomy Codes

  • Taxonomy code: 343900000X , with the licence number:  194809 , registered in the state of PR ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 347C00000X , with the licence number: 194809 , 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)





Copyright © 2007-2025 www.npivalidator.com