Provider Demographics
NPI:1255478319
Name:PRIMEROS AUXILIOS, INC.
Entity Type:Organization
Organization Name:PRIMEROS AUXILIOS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SANTIAGO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-272-1199
Mailing Address - Street 1:PMB 237-220 SUITE 101
Mailing Address - Street 2:WESTERN AUTO PLAZA
Mailing Address - City:TRUJILLO ALTO
Mailing Address - State:PR
Mailing Address - Zip Code:00976-0001
Mailing Address - Country:US
Mailing Address - Phone:787-272-1199
Mailing Address - Fax:787-272-1190
Practice Address - Street 1:CARR. 1 RD 842 KM 1.4
Practice Address - Street 2:CAIMITO BAJO, RIO PIEDRAS
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926-0001
Practice Address - Country:US
Practice Address - Phone:787-272-1199
Practice Address - Fax:787-272-1190
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-30
Last Update Date:2013-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PRTCAMB-4393416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0058972Medicare UPIN