=====================================================
General NPI Number Information
=====================================================
NPI Number | 1205296308
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | MUNICIPALITY OF CATANO
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/02/2016
-----------------------------------------------------
Last Update Date | 10/12/2023
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | CARR 5 KM 2.8
-----------------------------------------------------
City | CATANO
-----------------------------------------------------
State | PR
-----------------------------------------------------
Zip | 00963-0428
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 787-788-0404
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 428
-----------------------------------------------------
City | CATANO
-----------------------------------------------------
State | PR
-----------------------------------------------------
Zip | 00963-0428
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 787-788-0404
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | VICEMAYOR OF MUNICIPALITY OF CATANO
-----------------------------------------------------
Name | MRS. MARIA PEREZ
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 787-788-0404
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 291U00000X
-----------------------------------------------------
Taxonomy Name | Clinical Medical Laboratory
-----------------------------------------------------
License Number | 1290
-----------------------------------------------------
License Number State | PR
-----------------------------------------------------