=====================================================
General NPI Number Information
=====================================================
NPI Number | 1851736847
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | MUNICIPIO DE LOIZA
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/03/2013
-----------------------------------------------------
Last Update Date | 05/14/2013
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | CALLE ESPIRITU SANTO ESQUINA LANOSEDA
-----------------------------------------------------
City | LOIZA
-----------------------------------------------------
State | PR
-----------------------------------------------------
Zip | 00772
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 787-876-3561
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 308
-----------------------------------------------------
City | LOIZA
-----------------------------------------------------
State | PR
-----------------------------------------------------
Zip | 00772
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DIRECTORA
-----------------------------------------------------
Name | ROSE M VELAZQUEZ
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 787-876-3561
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 3416L0300X
-----------------------------------------------------
Taxonomy Name | Land Ambulance
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------