Healthcare Provider Details

I. General information

NPI: 1295320794
Provider Name (Legal Business Name): CUIDADO CRITICO DEL NORTE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/05/2021
Last Update Date: 03/16/2021
Certification Date: 03/16/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

BARRIO RODRIGUEZ OLMO SECTOR EL TANQUE R9
ARECIBO PR
00612
US

IV. Provider business mailing address

PO BOX 144035 PMB 133
ARECIBO PR
00614-4035
US

V. Phone/Fax

Practice location:
  • Phone: 787-597-7928
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: ADALBERTO GONZALEZ RODRIGEZ
Title or Position: PRESIDENTE
Credential:
Phone: 787-597-7928