Provider Demographics
NPI:1144562455
Name:MAPA HEALTH CORPORATION
Entity Type:Organization
Organization Name:MAPA HEALTH CORPORATION
Other - Org Name:VACCINES AND FIVE STARS SOLUTIONS
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PABLO
Authorized Official - Middle Name:R
Authorized Official - Last Name:BISONO
Authorized Official - Suffix:SR
Authorized Official - Credentials:MD
Authorized Official - Phone:787-363-4353
Mailing Address - Street 1:PO BOX 363265
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00936-3265
Mailing Address - Country:US
Mailing Address - Phone:787-363-4353
Mailing Address - Fax:
Practice Address - Street 1:B10 CALLE SANTA CRUZ
Practice Address - Street 2:
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00961-6902
Practice Address - Country:US
Practice Address - Phone:787-363-4353
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MAPA HEALTH CORPORATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-03-25
Last Update Date:2013-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service