Healthcare Provider Details

I. General information

NPI: 1891877908
Provider Name (Legal Business Name): AMMVR GROUP INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/19/2006
Last Update Date: 04/02/2024
Certification Date: 04/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1964 CALLE LOIZA
SAN JUAN PR
00911-1832
US

IV. Provider business mailing address

PO BOX 195519
SAN JUAN PR
00919-5519
US

V. Phone/Fax

Practice location:
  • Phone: 787-728-5085
  • Fax: 787-727-5243
Mailing address:
  • Phone: 787-999-2990
  • Fax: 787-764-8809

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number529
License Number StatePR

VIII. Authorized Official

Name: MR. CESAR RAMIREZ
Title or Position: DIRECTOR DE FINANZAS
Credential:
Phone: 787-999-2990