Healthcare Provider Details

I. General information

NPI: 1962837633
Provider Name (Legal Business Name): CARIBBEAN ALLCARE SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/12/2013
Last Update Date: 09/12/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

267 CALLE SIERRA MORENA PMB 365
SAN JUAN PR
00926-5583
US

IV. Provider business mailing address

1519 AVE. PONCE DE LEON SUITE 1201
SAN JUAN PR
00910-0000
US

V. Phone/Fax

Practice location:
  • Phone: 787-399-0611
  • Fax:
Mailing address:
  • Phone: 787-399-0611
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code171W00000X
TaxonomyContractor
License Number
License Number StateNULL

VIII. Authorized Official

Name: MR. JAVIER AGRELO
Title or Position: PRESIDENT
Credential:
Phone: 787-309-0611