Healthcare Provider Details

I. General information

NPI: 1821380486
Provider Name (Legal Business Name): MUNICIPIO DE CAMUY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2011
Last Update Date: 05/13/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR. 486 INTERIOR, PARCELAS VIEJAS/ANTIGUA COOPERATIVA
CAMUY PR
00627
US

IV. Provider business mailing address

P.O. BOX 539
CAMUY PR
00627
US

V. Phone/Fax

Practice location:
  • Phone: 787-820-1456
  • Fax: 787-262-1245
Mailing address:
  • Phone: 787-820-1456
  • Fax: 787-262-1245

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QC1500X
TaxonomyCommunity Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number State

VIII. Authorized Official

Name: EDWIN GARCIA FELICIANO
Title or Position: MAYOR
Credential:
Phone: 787-898-1988