Healthcare Provider Details
I. General information
NPI: 1750755047
Provider Name (Legal Business Name): AMP SERVICES INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/24/2015
Last Update Date: 11/24/2015
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
91 CALLE VILLA FRANCA URB. CIUDAD JARDIN SUR
CAGUAS PR
00727-1339
US
IV. Provider business mailing address
91 CALLE VILLA FRANCA URB. CIUDAD JARDIN SUR
CAGUAS PR
00727-1339
US
V. Phone/Fax
- Phone: 787-605-7403
- Fax:
- Phone: 787-605-7403
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QH0100X |
| Taxonomy | Health Service Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ANGELICA
PAGAN
Title or Position: PRESIDENTA
Credential:
Phone: 787-605-7403