Healthcare Provider Details

I. General information

NPI: 1427345107
Provider Name (Legal Business Name): MUNICIPIO DE MARICAO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2011
Last Update Date: 07/01/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARRETERA 120 KILOMETRO 2200
MARICAO PR
00606
US

IV. Provider business mailing address

PO BOX 837
MARICAO PR
00606-0837
US

V. Phone/Fax

Practice location:
  • Phone: 787-838-3344
  • Fax: 787-369-7990
Mailing address:
  • Phone: 787-838-3344
  • Fax: 787-369-7990

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. PABLO ORTIZ
Title or Position: ALCALDE
Credential:
Phone: 787-692-8261