Healthcare Provider Details

I. General information

NPI: 1952577199
Provider Name (Legal Business Name): MUNICIPIO DE BARCELONETA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2008
Last Update Date: 09/10/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CALLE REVERENDO VILLAMIL # 1 ALTO
BARCELONETA PR
00617
US

IV. Provider business mailing address

P O BOX 2049
BARCELONETA PR
00617
US

V. Phone/Fax

Practice location:
  • Phone: 787-846-1121
  • Fax:
Mailing address:
  • Phone: 787-846-1121
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number1679
License Number StatePR

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MRS. ANA C ACOSTA
Title or Position: SUPERVISORA
Credential:
Phone: 787-846-1121