1932171790 NPI number — MUNICIPIO DE MAUNABO

Table of content: (NPI 1932171790)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1932171790 NPI number — MUNICIPIO DE MAUNABO

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MUNICIPIO DE MAUNABO
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:
CDS MAUNABO
Provider Other Organization Name Type Code:
5
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:
1932171790
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/24/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
AVENIDA KENNEDY
Provider Second Line Business Mailing Address:
APORTADO 8
Provider Business Mailing Address City Name:
MAUNABO
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00707
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-861-1407
Provider Business Mailing Address Fax Number:
787-861-1407

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
AVENIDA KENNEDY
Provider Second Line Business Practice Location Address:
APORTADO 8
Provider Business Practice Location Address City Name:
MAUNABO
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00707
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-861-1407
Provider Business Practice Location Address Fax Number:
787-861-1407
Provider Enumeration Date:
02/06/2006

Additional Information

Authorized Official

Authorized Official Last Name:
MARQUEZ PEREZ
Authorized Official First Name:
JORGE
Authorized Official Middle Name:
L
Authorized Official Title or Position:
MAYOR
Authorized Official Telephone Number:
787-861-0810

Provider Taxonomy Codes

  • Taxonomy code: 282NR1301X , with the licence number:  50 , 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: 0085061 . This identifiers is of the category "MEDICARE ID-TYPE UNSPECIFIED".




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