Healthcare Provider Details

I. General information

NPI: 1720565039
Provider Name (Legal Business Name): CIDRA INVESTMENTS AND MANAGEMENT INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/19/2018
Last Update Date: 07/19/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33 CALLE VICENTE MUNOZ BARRIOS
CIDRA PR
00739-3309
US

IV. Provider business mailing address

PO BOX 729
CIDRA PR
00739-0729
US

V. Phone/Fax

Practice location:
  • Phone: 787-739-2323
  • 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: MARITZA TOLENTINO
Title or Position: DIRECTORA DE FINANZAS
Credential:
Phone: 787-485-6774