Provider Demographics
NPI:1114246196
Name:BUGAMBILIAS, LLP
Entity Type:Organization
Organization Name:BUGAMBILIAS, LLP
Other - Org Name:BUGAMBILIAS ADULT DAY CARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FACILITY DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:REBECA
Authorized Official - Middle Name:
Authorized Official - Last Name:COSS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-541-5000
Mailing Address - Street 1:325 MEXICO BLVD
Mailing Address - Street 2:BUILDING 'B'
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78520-4161
Mailing Address - Country:US
Mailing Address - Phone:956-541-5000
Mailing Address - Fax:956-541-5009
Practice Address - Street 1:325 MEXICO BLVD
Practice Address - Street 2:BUILDING 'B'
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78520-4161
Practice Address - Country:US
Practice Address - Phone:956-541-5000
Practice Address - Fax:956-541-5009
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-30
Last Update Date:2010-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care