Provider Demographics
NPI:1366673451
Name:MVA MEDICAL BILLING
Entity Type:Organization
Organization Name:MVA MEDICAL BILLING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FACTURADORA
Authorized Official - Prefix:MISS
Authorized Official - First Name:MERARI
Authorized Official - Middle Name:
Authorized Official - Last Name:VELAZQUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-518-2636
Mailing Address - Street 1:PO BOX 358
Mailing Address - Street 2:
Mailing Address - City:ISABELA
Mailing Address - State:PR
Mailing Address - Zip Code:00662-0358
Mailing Address - Country:US
Mailing Address - Phone:787-518-2636
Mailing Address - Fax:787-280-0982
Practice Address - Street 1:CARR 112 KM 5 HM9
Practice Address - Street 2:BO ARENALES ALTOS
Practice Address - City:ISABELA
Practice Address - State:PR
Practice Address - Zip Code:00662-0358
Practice Address - Country:US
Practice Address - Phone:787-518-2636
Practice Address - Fax:787-280-0982
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-06
Last Update Date:2009-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302F00000XManaged Care OrganizationsExclusive Provider Organization