Healthcare Provider Details

I. General information

NPI: 1922422799
Provider Name (Legal Business Name): GOBIERNO MUNICIPAL DE FLORIDA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/13/2014
Last Update Date: 02/13/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CALLE ARIZMENDI #88 ESQ. JOSE DE DIEGO
FLORIDA PR
00650
US

IV. Provider business mailing address

P O BOX 1168
FLORIDA PR
00650
US

V. Phone/Fax

Practice location:
  • Phone: 787-822-2074
  • Fax: 787-369-7990
Mailing address:
  • Phone: 787-822-1870
  • Fax: 787-369-7990

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number StatePR

VIII. Authorized Official

Name: SHEILA OTERO
Title or Position: FACTURADORA
Credential:
Phone: 787-385-7764