Healthcare Provider Details

I. General information

NPI: 1306959010
Provider Name (Legal Business Name): MUNICIPIO DE COROZAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/16/2006
Last Update Date: 05/29/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CALLE CERVANTES #9
COROZAL PR
00783-0009
US

IV. Provider business mailing address

CALLE CERVANTES #9
COROZAL PR
00783-0009
US

V. Phone/Fax

Practice location:
  • Phone: 787-859-2052
  • Fax: 787-369-7990
Mailing address:
  • Phone: 787-859-2052
  • Fax: 787-369-7990

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number StatePR
# 2
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number0764327
License Number StatePR

VIII. Authorized Official

Name: MRS. NERY RIVERA
Title or Position: DIRECTORA
Credential:
Phone: 787-859-2052