Healthcare Provider Details

I. General information

NPI: 1437364627
Provider Name (Legal Business Name): PRNET, CORP.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

165 AVE PONCE DE LEON SUITE 201
SAN JUAN PR
00917-1233
US

IV. Provider business mailing address

165 AVE PONCE DE LEON SUITE 201
SAN JUAN PR
00917-1233
US

V. Phone/Fax

Practice location:
  • Phone: 787-608-2080
  • Fax: 787-765-8033
Mailing address:
  • Phone: 787-608-2080
  • Fax: 787-765-8033

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: MR. FRANCISCO MENDEZ
Title or Position: DIRECTOR
Credential:
Phone: 787-608-2080