Healthcare Provider Details

I. General information

NPI: 1740437888
Provider Name (Legal Business Name): ASOCIACION DE MAESTROS DE P R
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2008
Last Update Date: 02/04/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

AVE. PONCE DE LEON #452
SAN JUAN PR
00918
US

IV. Provider business mailing address

PO BOX 191088
SAN JUAN PR
00919-3490
US

V. Phone/Fax

Practice location:
  • Phone: 787-763-5560
  • Fax: 787-766-6700
Mailing address:
  • Phone: 787-763-5560
  • Fax: 787-767-6600

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number138
License Number StatePR

VIII. Authorized Official

Name: MR. JOSE LUIS VARGAS
Title or Position: EXECUTIVE DIRECTOR
Credential: ED.D.
Phone: 787-767-2020