Provider Demographics
NPI:1053828053
Name:MARIELY'S LLC
Entity Type:Organization
Organization Name:MARIELY'S LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENTA
Authorized Official - Prefix:
Authorized Official - First Name:ARELIS
Authorized Official - Middle Name:
Authorized Official - Last Name:ROMAN RAMOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-245-3835
Mailing Address - Street 1:PO BOX 5215
Mailing Address - Street 2:
Mailing Address - City:SAN SEBASTIAN
Mailing Address - State:PR
Mailing Address - Zip Code:00685-5215
Mailing Address - Country:US
Mailing Address - Phone:787-245-3835
Mailing Address - Fax:
Practice Address - Street 1:CARR 125 KM 29 EDF LA SIRRA
Practice Address - Street 2:
Practice Address - City:SAN SEBASTIAN
Practice Address - State:PR
Practice Address - Zip Code:00685
Practice Address - Country:US
Practice Address - Phone:787-245-3835
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-29
Last Update Date:2017-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport