Healthcare Provider Details

I. General information

NPI: 1871304493
Provider Name (Legal Business Name): TOXIMED OCUPATIONAL SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/14/2025
Last Update Date: 01/14/2025
Certification Date: 01/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 AVE PONCE DE LEON
GUAYNABO PR
00965-5602
US

IV. Provider business mailing address

247 CALLE ALMENDRO
VEGA ALTA PR
00692-9037
US

V. Phone/Fax

Practice location:
  • Phone: 787-936-2778
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QX0100X
TaxonomyOccupational Medicine Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MYRNALI RIVERA
Title or Position: PRESIDENT
Credential:
Phone: 787-936-2778