Healthcare Provider Details

I. General information

NPI: 1811815731
Provider Name (Legal Business Name): TUCITA CORP.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

JOM APARTMENTS D-1 2-2 URB. MYRLENA
CAGUAS PR
00725
US

IV. Provider business mailing address

136 JOM APARTMENTS URB. MYRLENA
CAGUAS PR
00725
US

V. Phone/Fax

Practice location:
  • Phone: 787-642-1365
  • Fax:
Mailing address:
  • Phone: 787-642-1365
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: EDGARDO MANUEL JIMENEZ PERAZA
Title or Position: PRESIDENT
Credential:
Phone: 787-642-1365