Healthcare Provider Details

I. General information

NPI: 1558541946
Provider Name (Legal Business Name): ARNALDO J MIRANDA RIOS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/14/2007
Last Update Date: 11/14/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR # 112 KM # 5.5
ISABELA PR
00662
US

IV. Provider business mailing address

CALLE LAS DELICIAS # 8
ISABELA PR
00662
US

V. Phone/Fax

Practice location:
  • Phone: 787-872-4835
  • Fax: 787-830-0911
Mailing address:
  • Phone: 787-872-4835
  • Fax: 787-830-0911

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: ARNALDO J MIRANDA RIOS
Title or Position: OWNER
Credential:
Phone: 787-872-4835