Healthcare Provider Details

I. General information

NPI: 1083184758
Provider Name (Legal Business Name): CARIBBEAN ALLCARE SERVICES MS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/26/2018
Last Update Date: 11/26/2018
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

PMB 365 CALLE SIERRA MORENA
SAN JUAN PR
00926-5574
US

V. Phone/Fax

Practice location:
  • Phone: 787-454-5654
  • Fax:
Mailing address:
  • Phone: 787-454-5654
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code347B00000X
TaxonomyBus
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code347E00000X
TaxonomyTransportation Broker
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: MRS. MAYLIN BRIGNONI
Title or Position: ADMINISTRATOR
Credential:
Phone: 787-309-8072